Authentic Healing Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

AUTHENTIC HEALING COUNSELING, LLC

Doing business as

Authentic Healing Counseling, Llc

Practice address

862 Archer Dr
Medford, OR 97501-4412

Phone

(541) 326-9377

NPI assigned

Sep 18, 2024

Last updated

Sep 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer WatkinsNPI 1407275332

Title

Owner

Phone

(541) 326-9377

Specialties & licenses 2

Addresses

Other names 1

• Authentic Healing Counseling, Llc Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Watkins, BA, MA, PSY.D., QMHP

  • Clinical Psychologist
  • Medford, OR
  • NPI 1407275332

  Multi-Specialty

  NPD Authorized official

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1982431326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 ARCHER DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975014412",
            "telephone_number": "541-326-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "862 ARCHER DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975014412",
            "telephone_number": "541-326-9377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4497 Brown Ridge Ter Ste 104",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975049173",
            "country_code": "US",
            "telephone_number": "541-326-9377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AUTHENTIC HEALING COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-326-9377"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Authentic Healing Counseling, Llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kirk William Austbo, R.N., B.S.N.
• Janis Rose Austermuehle, NCC, LPC
• Gina E Austin, RN
• Wendy Palma Austin, MS
• Authentic Hand Therapy LLC
• Adrienne Brooke Auxier
• Avalon Health Care - Hearthstone LLC (Hearthstone Nursing and Rehabilitiation Center)
• Corbin Avey
• Acacia Avgeris
• Jennifer M Aviles

• Mental Health Clinic/Center (Including Community Mental Health Center) in Medford, OR
• Providers in Medford, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.