AUTHENTIC HEALING LLC (NPI# 1912521188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912521188 |
| Entity Type | Organization |
| Organization Name | AUTHENTIC HEALING LLC |
| Practice Address |
6117 Monona Dr Ste 4 Monona WI 53716-3962 |
| Practice Telephone | 6083903535 |
| Mailing Telephone | 6083903535 |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |
| Authorized Official Name | LEAH MARY THOMPSON (OWNER) |
| Authorized Official Telephone | 6085132407 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Authentic Healing LLC | 8335 Mustang Place, Colorado Springs, CO 80908 |
| Street Address |
6117 MONONA DR STE 4 |
| City | MONONA |
| State | WI |
| Zip Code | 53716-3962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700192135 | Heather Michelle Edge | Social Worker | 6117 Monona Dr Ste 4, Monona, WI 53716-3962 | 2010-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738873 | Richard Onyait | Technician | 1103 Birch Haven Cir, Monona, WI 53716 | 2019-09-11 |
| 1962950428 | Paige Corliss | Pharmacist | 1821 S. Stoughton Road, Madison, WI 53716 | 2016-09-13 |
| 1760840946 | Stacey Palermo | Marriage & Family Therapist | 303 Frost Woods Rd, Monona, WI 53716 | 2016-02-03 |
| 1326414442 | Diane Marie Kelley | Nurse Practitioner | 300 Femrite Drive, Monona, WI 53716 | 2015-08-12 |
| 1942692520 | Kelsey Lynn Markham | Counselor | 5900 Monona Drive, Suite 100, Monona, WI 53716 | 2015-02-19 |
| 1225452733 | Nicole Moscinski | Marriage & Family Therapist | 6117 Monona Dr Ste 1b, Monona, WI 53716 | 2014-02-05 |
| 1013345644 | Emma Amanda Rose | Physician Assistant | 521 Bowman Ave., Madison, WI 53716 | 2013-10-16 |
| 1407154271 | Jennifer Orshak | Registered Nurse | 5410 Forge Drive, Madison, WI 53716 | 2011-03-03 |
| 1982906525 | Jennifer Chun | Dentist | 100 River Pl Ste 110, Monona, WI 53716 | 2010-12-02 |
| 1609041987 | Jennifer A Britain | Physical Therapist | 1821 South Stoughton Rd, Madison, WI 53716 | 2008-04-28 |
| Find all providers in zip 53716 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780103226 | Rick K Hudson | Counselor | 6117 Monona Dr Ste 1, Monona, WI 53716-4304 | 2017-09-15 |
| 1982982559 | Leah Thompson | Counselor | 6117 Monona Drive #4, Monona, WI 53716-4304 | 2011-07-29 |
| 1235382490 | Joseph Paul Weidenbenner | Counselor | 6400 Gisholt Dr, Monona, WI 53713-4835 | 2008-10-30 |
| 1811512593 | Saltzman Counseling Services, LLC | Counselor | 6117 Monona Dr Ste 5, Monona, WI 53716-3962 | 2020-06-09 |
| 1356833008 | Kay Cram | Counselor | 1050 E Broadway, Monona, WI 53716-4023 | 2018-05-30 |
| 1538674205 | Kelle Christine Anderson | Counselor | 6117 Monona Dr Ste 1, Monona, WI 53716-4304 | 2017-12-04 |
| 1851751929 | Rebecca Riedel | Counselor | 6400 Gisholt Dr, Suite 203, Monona, WI 53713-4835 | 2016-03-02 |
| 1881023083 | Gyna Maritza O'connell | Counselor | 1050 E Broadway, Monona, WI 53716-4023 | 2013-11-07 |
| 1427360544 | Carla Jean Eichinger | Counselor | 1050 E Broadway, Monona, WI 53716-4023 | 2010-07-06 |
| 1407175250 | Catherine Enos Mandt | Counselor | 6000 Monona Dr, Suite 203, Monona, WI 53716-3327 | 2010-05-19 |
| Find all providers in MONONA | ||||
Please comment or provide details below to improve the information on AUTHENTIC HEALING LLC.
| 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.