AUTHENTIC WELLNESS, LLC
NPI 1396484366
Counselor - Professional in Hancock, MI
About Authentic Wellness, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUTHENTIC WELLNESS, LLC (NPI 1396484366) is a healthcare organization registered as a professional in Hancock, Michigan and active in the NPI registry since May 2022. The organization lists Kelly Niileksela, Co-owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
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 Wellness, 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 Wellness, 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 Wellness, LLC's NPI number?
The NPI number for Authentic Wellness, LLC is 1396484366. It was assigned to this organization in the NPPES registry on May 30, 2022.
Where is Authentic Wellness, LLC located?
Authentic Wellness, LLC is located at 54354 State Highway M203, Hancock, MI 49930. The listed phone number is (906) 281-4806.
What is Authentic Wellness, LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Authentic Wellness, LLC enrolled in Medicare?
Yes. Authentic Wellness, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Authentic Wellness, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Authentic Wellness, 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.
What insurance does Authentic Wellness, LLC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Authentic Wellness, 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 Wellness, LLC was last updated on August 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 Wellness, Llc · NPI 1396484366
Professional organization in Hancock, Michigan. Organization record, active in the CMS NPPES registry since May 30, 2022.
## Identity
- **NPI:** 1396484366 (Entity type: Organization)
- **Enumerated:** May 30, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Kelly Niileksela, CO-OWNER
## Practice location
- **Address:** 54354 STATE HIGHWAY M203, Hancock, MI 49930-9448
- **Phone:** (906) 281-4806
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 6, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1396484366) · Data from the CMS NPPES public registry.