AUTHENTIC HEALING LLC
NPI 1255040812
Counselor - Professional in Imperial Beach, CA
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
Specialties & Licenses
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 Healing Llc 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 Healing LLC, 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 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.
Is Authentic Healing LLC enrolled in Medicare?
Yes. Authentic Healing LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Authentic Healing LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Authentic Healing LLC. 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 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 43 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.
# Authentic Healing Llc · NPI 1255040812
Professional organization in Imperial Beach, California. Organization record, active in the CMS NPPES registry since November 22, 2022.
## Identity
- **NPI:** 1255040812 (Entity type: Organization)
- **Enumerated:** November 22, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Kathleen Shearman, LICENSED PROFESSIONAL COUNSELOR
## Practice location
- **Address:** 155 ELM AVE, Imperial Beach, CA 91932-1860
- **Phone:** (402) 990-9912
## 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:** September 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1255040812) · Data from the CMS NPPES public registry.