Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AUTHENTIC HEALING LLC
NPI 1255040812
Counselor - Professional in Imperial Beach, CA

Active since November 22, 2022
155 ELM AVE, IMPERIAL BEACH, CA 91932(402) 990-9912 Get Directions Write a Review

NPPES record last updated: September 12, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 12, 2026, Jul 1, 2025, Nov 22, 2022 (3 updates tracked since 2022).

About Authentic Healing Llc NPPES

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

AUTHENTIC HEALING LLC (NPI 1255040812) is a healthcare organization registered as a professional in Imperial Beach, California and active in the NPI registry since November 2022. The organization lists Kathleen Erin Shearman, Licensed Professional Counselor, as its authorized official.

NPPES Registry Identity

NPI1255040812
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameAUTHENTIC HEALING LLC
Location Address155 ELM AVEImperial Beach, CA 91932-1860
Mailing Address155 Elm AveImperial Beach, CA 91932-1860 · (402) 990-9912
Organization SubpartNo
Authorized OfficialKathleen Erin ShearmanLicensed Professional Counselor · (402) 990-9912
Enumeration DateNovember 22, 2022
Last NPPES UpdateSeptember 12, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2026
✔ NPI 1255040812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
155 ELM AVE, Imperial Beach, CA 91932

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

Counselor (Mental Health)
155 ELM AVE
IMPERIAL BEACH, CA 91932

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 Healing LLC's NPI number?

The NPI number for Authentic Healing LLC is 1255040812. It was assigned to this organization in the NPPES registry on November 22, 2022.

Where is Authentic Healing LLC located?

Authentic Healing LLC is located at 155 Elm Ave, Imperial Beach, CA 91932. The listed phone number is (402) 990-9912.

What is Authentic Healing LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Authentic Healing LLC was last updated on September 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.