Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

AUTHENTIC PSYCHIATRIC WELLBEING LLC
NPI 1063329779
Nurse Practitioner - Psychiatric/Mental Health in Pacific City, OR

Active since August 26, 2026
6305 FERRY ST # 2, PACIFIC CITY, OR 97135(503) 932-7808(503) 584-4253 Get Directions Write a Review

NPPES record added: August 26, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Authentic Psychiatric Wellbeing Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUTHENTIC PSYCHIATRIC WELLBEING LLC (NPI 1063329779) is a healthcare organization registered as a psychiatric/mental health in Pacific City, Oregon and active in the NPI registry since August 2026. The organization lists Jason Elliott, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1063329779
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameAUTHENTIC PSYCHIATRIC WELLBEING LLC
Location Address6305 FERRY ST # 2Pacific City, OR 97135-8000
Mailing AddressPo Box 839Pacific City, OR 97135-0839 · (503) 932-7808 · Fax (503) 584-4253
Fax(503) 584-4253
Organization SubpartNo
Authorized OfficialJason ElliottSole Member · (503) 932-7808
Enumeration DateAugust 26, 2026
NPPES CertifiedAugust 26, 2026
NPI 1063329779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
6305 FERRY ST # 2, Pacific City, OR 97135

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
6305 FERRY ST # 2
PACIFIC CITY, OR 97135

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Authentic Psychiatric Wellbeing LLC's NPI number?

The NPI number for Authentic Psychiatric Wellbeing LLC is 1063329779. It was assigned to this organization in the NPPES registry on August 26, 2026.

Where is Authentic Psychiatric Wellbeing LLC located?

Authentic Psychiatric Wellbeing LLC is located at 6305 Ferry St # 2, Pacific City, OR 97135. The listed phone number is (503) 932-7808.

What is Authentic Psychiatric Wellbeing LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Authentic Psychiatric Wellbeing LLC was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.