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AUTHENTIC SELF HOLISTIC PSYCHOTHERAPY LLC
NPI 1316740046
Social Worker - Clinical in Rockford, MI

Active since March 28, 2025
7989 MYERS LAKE AVE NE, ROCKFORD, MI 49341(616) 498-2566 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Authentic Self Holistic Psychotherapy Llc NPPES

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

AUTHENTIC SELF HOLISTIC PSYCHOTHERAPY LLC (NPI 1316740046) is a healthcare organization registered as a clinical in Rockford, Michigan and active in the NPI registry since March 2025. The organization lists Denise Potter, Therapist, as its authorized official.

NPPES Registry Identity

NPI1316740046
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameAUTHENTIC SELF HOLISTIC PSYCHOTHERAPY LLC
Location Address7989 MYERS LAKE AVE NERockford, MI 49341-9634
Mailing Address7989 Myers Lake Ave NeRockford, MI 49341-9634 · (616) 498-2566
Phone(616) 498-2566
Organization SubpartNo
Authorized OfficialDenise PotterTherapist · (616) 498-2566
Enumeration DateMarch 28, 2025
NPPES CertifiedMarch 28, 2025
✔ NPI 1316740046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
7989 MYERS LAKE AVE NE, Rockford, MI 49341
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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 Self Holistic Psychotherapy LLC's NPI number?

The NPI number for Authentic Self Holistic Psychotherapy LLC is 1316740046. It was assigned to this organization in the NPPES registry on March 28, 2025.

Where is Authentic Self Holistic Psychotherapy LLC located?

Authentic Self Holistic Psychotherapy LLC is located at 7989 Myers Lake Ave NE, Rockford, MI 49341. The listed phone number is (616) 498-2566.

What is Authentic Self Holistic Psychotherapy LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Authentic Self Holistic Psychotherapy LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Authentic Self Holistic Psychotherapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Authentic Self Holistic Psychotherapy LLC was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.