AUTHENTIC LIVING (NPI# 1780821306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780821306 |
| Entity Type | Organization |
| Organization Name | AUTHENTIC LIVING |
| Practice Address |
1110 Rose Hill Dr. Suite 200 Charlottesville VA 22903 |
| Practice Telephone | 4342965300 |
| Practice Fax Number | 4349842464 |
| Mailing Telephone | 4342965300 |
| Mailing Fax Number | 4349842464 |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2009-01-20 |
| Authorized Official Name | MS. BETSY RUTH COCHRAN (PRESIDENT AND TREASURER) |
| Authorized Official Telephone | 4342965300 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701003549 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659804300 | Authentic Living | Counselor | 315 W Ponce De Leon Ave, Suite 835, Decatur, GA 30030-2400 | 2017-04-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Authentic Living | 1110 Rose Hill Drive Suite 200, Charlottesville, Virginia 22903 |
| Colorado Business Entities | Authentic Living Colorado LLC | 2855 N Speer Blvd, Denver, CO 80211 |
| Colorado Business Entities | Authentic Living Heartland, LLC | 19581 Road 31, Dolores, CO 81321 |
| New York State Corporations | AUTHENTIC LIVING LLC | 1080 Bergen St #284, Brooklyn, New York 11216 |
| Colorado Business Entities | Authentic Living Psychotherapy LLC | 445 Valley View Dr, Boulder, CO 80304 |
| Oregon Corporations, Companies and Business Names | AUTHENTIC LIVING TV LLC | 144 Wagner Butte Rd, Talent, OR 97540 |
| Washington State Corporations | AUTHENTIC LIVING WITH JOY, LLC | 181 Wood Rose Ct, Cle Elum, WA 98922 |
| Oregon Corporations, Companies and Business Names | AUTHENTIC LIVING, LLC | 19968 Sw Doma Ln #41, Aloha, OR 97003 |
| Colorado Business Entities | Authentic Living, LLC | 2537 Laporte Ave. #2, Fort Collins, CO 80521 |
| Street Address |
1110 ROSE HILL DR. SUITE 200 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| Find all providers in zip 22903 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962464 | Stefanie Newman | Counselor | 2340 Commonwealth Dr Fl 1, Charlottesville, VA 22901-1634 | 2020-11-06 |
| 1922606946 | Elaine Zagami | Counselor | 1406 Gentry Ln Unit B, Charlottesville, VA 22903-1320 | 2020-10-12 |
| 1932712841 | Danielle Keller | Counselor | 1337 Gate Post Ln, Charlottesville, VA 22901-9590 | 2020-08-29 |
| 1053920850 | Lily Meiss | Counselor | 1384 Wimbledon Way, Charlottesville, VA 22901-0635 | 2020-07-28 |
| 1992324164 | Catherine Michele O'connell | Counselor | 348 Key West Dr, Charlottesville, VA 22911-8426 | 2020-04-08 |
| 1780219972 | Valerie Sue Stolicker | Counselor | 810 Henry Ave Apt 201, Charlottesville, VA 22903-5275 | 2020-03-08 |
| 1518519081 | Kristin Morgan | Counselor | 726 Cargil Ln, Charlottesville, VA 22902-4302 | 2019-07-15 |
| 1477011872 | Courtney Dyan Bonilla | Counselor | 633 Berkmar Circle, Charlottesville, VA 22901 | 2019-03-05 |
| 1295205912 | Matthew Lamb Lpc LLC | Counselor | 936 Charlton Ave, Charlottesville, VA 22903-5205 | 2018-11-26 |
| 1831679141 | Andrew R Tyer | Counselor | 963 2nd St Se, Charlottesville, VA 22902-6172 | 2018-08-16 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
Please comment or provide details below to improve the information on AUTHENTIC LIVING.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.