Authentic Psychiatry & Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

AUTHENTIC PSYCHIATRY & WELLNESS LLC

Practice address

220 E Virginia St
Evansville, IN 47711-5530

Phone

(812) 777-0127

NPI assigned

Jun 4, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laura Alexander, PMHNPNPI 1255987335

Title

Owner

Phone

(812) 777-0127

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Suzanne Alexander, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Evansville, IN
  • NPI 1255987335

  IN, Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official
• Heather D Riley, LCSW

  • Clinical Social Worker
  • Evansville, IN
  • NPI 1699579342
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1972344992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-473-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E VIRGINIA ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477115530",
            "telephone_number": "812-777-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC PSYCHIATRY & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-777-0127",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Austin, PMHNP
• Stacy Austin
• Taylor Leigh Austin, BSN, RN, IBCLC
• Emily Jo Auten
• Regina Elizabeth Auth, M.D.
• Benson Avis, MSW
• Kathryn Louise Avis, DPT, ATC
• Awakening, LLC
• Laura Aydt, RPH
• Ronna J Aydt, CRTT, RCP

• All providers in Evansville, IN
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.