AUTHENTIC HEALING LLC
NPI 1255040812
Counselor - Mental Health 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: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2025, Nov 22, 2022 (2 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 mental health in Imperial Beach, California and active in the NPI registry since November 2022. The organization lists Kathleen Shearman, Owner, as its authorized official.

NPPES Registry Identity

NPI1255040812
Entity TypeOrganization
Primary Taxonomy101YM0800X
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 ShearmanOwner · (402) 990-9912
Enumeration DateNovember 22, 2022
Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
NPI 1255040812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
155 ELM AVE, Imperial Beach, CA 91932

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.

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 Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Authentic Healing LLC was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.