AUTHENTIC LIVING THERAPEUTIC SERVICES INC
NPI 1093580482
Counselor - Professional in Mt. Prospect, IL
About Authentic Living Therapeutic Services Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUTHENTIC LIVING THERAPEUTIC SERVICES INC (NPI 1093580482) is a healthcare organization registered as a professional in Mt. Prospect, Illinois and active in the NPI registry since November 2023. The organization maintains a secondary practice location in Schaumburg and lists Joyce Ann Gut, Lcpc, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Authentic Living Therapeutic Services Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Authentic Living Therapeutic Services Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Living Therapeutic Services Inc's NPI number?
The NPI number for Authentic Living Therapeutic Services Inc is 1093580482. It was assigned to this organization in the NPPES registry on November 16, 2023.
Where is Authentic Living Therapeutic Services Inc located?
Authentic Living Therapeutic Services Inc is located at 201 W Hiawatha Trail, Mt. Prospect, IL 60056. The listed phone number is (224) 567-3468.
What is Authentic Living Therapeutic Services Inc's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Authentic Living Therapeutic Services Inc enrolled in Medicare?
Yes. Authentic Living Therapeutic Services Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Authentic Living Therapeutic Services Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Authentic Living Therapeutic Services Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Authentic Living Therapeutic Services Inc was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Authentic Living Therapeutic Services Inc · NPI 1093580482
Professional organization in Mt. Prospect, Illinois. Organization record, active in the CMS NPPES registry since November 16, 2023.
## Identity
- **NPI:** 1093580482 (Entity type: Organization)
- **Enumerated:** November 16, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Joyce Gut, LCPC, OWNER
## Practice location
- **Address:** 201 W HIAWATHA TRAIL, Mt. Prospect, IL 60056-3763
- **Phone:** (224) 567-3468
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1093580482) · Data from the CMS NPPES public registry.