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AUTHENTICITY RECOVERY LLC
NPI 1295618635
Counselor - Mental Health in Grand Rapids, MI

Active since July 30, 2025
4500 CASCADE RD SE STE 102, GRAND RAPIDS, MI 49546(616) 638-7408 Get Directions Write a Review

NPPES record last updated: October 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Authenticity Recovery Llc NPPES

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

AUTHENTICITY RECOVERY LLC (NPI 1295618635) is a healthcare organization registered as a mental health in Grand Rapids, Michigan and active in the NPI registry since July 2025. The organization lists Justyne Lee Ortquist, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1295618635
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameAUTHENTICITY RECOVERY LLC
Location Address4500 CASCADE RD SE STE 102Grand Rapids, MI 49546-3665
Mailing Address4500 Cascade Rd Se Ste 102Grand Rapids, MI 49546-3665 · (616) 638-7408
Phone(616) 638-7408
Organization SubpartNo
Authorized OfficialJustyne Lee OrtquistClinical Director · (616) 638-7408
Enumeration DateJuly 30, 2025
Last NPPES UpdateOctober 25, 2025
NPPES CertifiedOctober 25, 2025
✔ NPI 1295618635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedNutritionistTaxonomy 133N00000X
Also ListedHealth and Wellness CoachTaxonomy 171400000X
4500 CASCADE RD SE STE 102, Grand Rapids, MI 49546
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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.

ANNA FLORES DCN
Nutritionist
4500 CASCADE RD SE STE 102
GRAND RAPIDS, MI 49546
Kent County (616) 209-8403

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 Authenticity Recovery LLC's NPI number?

The NPI number for Authenticity Recovery LLC is 1295618635. It was assigned to this organization in the NPPES registry on July 30, 2025.

Where is Authenticity Recovery LLC located?

Authenticity Recovery LLC is located at 4500 Cascade Rd SE Ste 102, Grand Rapids, MI 49546. The listed phone number is (616) 638-7408.

What is Authenticity Recovery 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 Authenticity Recovery LLC was last updated on October 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.