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AUTHENTIC LIFE LLC
NPI 1437815255
Social Worker - Clinical in Independence, MO

Active since November 16, 2021
4228 S HOCKER DR BLDG 12, INDEPENDENCE, MO 64055(816) 381-7690(816) 381-4356 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 18, 2026, Aug 17, 2022, Feb 28, 2022 and 2 more (5 updates tracked since 2021).

About Authentic Life Llc NPPES

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

AUTHENTIC LIFE LLC (NPI 1437815255) is a healthcare organization registered as a clinical in Independence, Missouri and active in the NPI registry since November 2021. The organization maintains a secondary practice location in Independence and lists Laurie L Carpenter, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1437815255
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameAUTHENTIC LIFE LLC
Location Address4228 S HOCKER DR BLDG 12Independence, MO 64055-4754
Mailing Address224 W Maple AveIndependence, MO 64050-2816 · (816) 381-7690 · Fax (816) 381-7652
Phone(816) 381-7690
Fax(816) 381-4356
Organization SubpartNo
Authorized OfficialLaurie L CarpenterOwner/therapist · (816) 381-7690
Enumeration DateNovember 16, 2021
Last NPPES UpdateAugust 18, 20265 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1437815255 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.
4228 S HOCKER DR BLDG 12, Independence, MO 64055
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Secondary Practice Location 1

Location 1224 W Maple AveIndependence, MO 64050-2816 · Phone (816) 381-7690 · Fax (816) 381-7652

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 Anthem Blue Cross and Blue Shield.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 Life 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 Life LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Laurie Carpenter, LCSW, LSCSW
Clinical Social Worker
NPI 1780227058
224 W MAPLE AVE
Independence, MO 64050
(816) 381-7690
✔ PECOS3.5 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 Life LLC's NPI number?

The NPI number for Authentic Life LLC is 1437815255. It was assigned to this organization in the NPPES registry on November 16, 2021.

Where is Authentic Life LLC located?

Authentic Life LLC is located at 4228 S Hocker Dr Bldg 12, Independence, MO 64055. The listed phone number is (816) 381-7690.

What is Authentic Life LLC's specialty?

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

Is Authentic Life LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Authentic Life LLC?

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

Health plans from Anthem Blue Cross and Blue Shield list Authentic Life 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 Life LLC was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.