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AUTHENTIC FOUNDATIONS LLC
NPI 1396610424
Social Worker - Clinical in Missoula, MT

Active since October 08, 2025
2315 MCDONALD AVE STE 101, MISSOULA, MT 59801(406) 239-4647 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Authentic Foundations Llc NPPES

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

AUTHENTIC FOUNDATIONS LLC (NPI 1396610424) is a healthcare organization registered as a clinical in Missoula, Montana and active in the NPI registry since October 2025. The organization lists Jama Mauldin, Owner/ Therapist, as its authorized official.

NPPES Registry Identity

NPI1396610424
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameAUTHENTIC FOUNDATIONS LLC
Location Address2315 MCDONALD AVE STE 101Missoula, MT 59801-7343
Mailing Address2315 Mcdonald Ave Ste 101Missoula, MT 59801-7343 · (406) 239-4647
Phone(406) 239-4647
Organization SubpartNo
Authorized OfficialJama MauldinOwner/ Therapist · (406) 239-4647
Enumeration DateOctober 8, 2025
NPPES CertifiedOctober 8, 2025
✔ NPI 1396610424 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.
2315 MCDONALD AVE STE 101, Missoula, MT 59801
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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 Cross and Blue Shield of Montana.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 Foundations 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 Foundations LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jama Mauldin, LCSW
Clinical Social Worker
NPI 1659006344
1030 OLD BARN ROAD
Seeley Lake, MT 59868
(406) 239-4747
✔ PECOS✔ Accepts Medicare42 mi

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 Foundations LLC's NPI number?

The NPI number for Authentic Foundations LLC is 1396610424. It was assigned to this organization in the NPPES registry on October 8, 2025.

Where is Authentic Foundations LLC located?

Authentic Foundations LLC is located at 2315 Mcdonald Ave Ste 101, Missoula, MT 59801. The listed phone number is (406) 239-4647.

What is Authentic Foundations LLC's specialty?

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

Is Authentic Foundations LLC enrolled in Medicare?

Yes. Authentic Foundations LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Authentic Foundations LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Authentic Foundations 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 Foundations LLC accept?

Health plans from Blue Cross and Blue Shield of Montana list Authentic Foundations 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 Foundations LLC was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.