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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

AUTHENTIC SELF LLC
NPI 1548176126
Counselor - Mental Health in Boulder, CO

Active since August 21, 2026
3333 IRIS AVE STE 210, BOULDER, CO 80301(970) 470-1240 Get Directions Write a Review

NPPES record added: August 21, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Authentic Self Llc NPPES

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

AUTHENTIC SELF LLC (NPI 1548176126) is a healthcare organization registered as a mental health in Boulder, Colorado and active in the NPI registry since August 2026. The organization lists Mark Dewolf, Owner, as its authorized official.

NPPES Registry Identity

NPI1548176126
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameAUTHENTIC SELF LLC
Location Address3333 IRIS AVE STE 210Boulder, CO 80301-1998
Mailing Address3333 Iris Ave Ste 210Boulder, CO 80301-1998 · (970) 470-1240
Phone(970) 470-1240
Organization SubpartNo
Authorized OfficialMark DewolfOwner · (970) 470-1240
Enumeration DateAugust 21, 2026
NPPES CertifiedAugust 21, 2026
✔ NPI 1548176126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3333 IRIS AVE STE 210, Boulder, CO 80301
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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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MARK ANTHONY DEWOLF MA, LPC, NCC
Counselor (Professional)
3333 IRIS AVE STE 210
BOULDER, CO 80301
Boulder County (970) 470-1240

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 LLC's NPI number?

The NPI number for Authentic Self LLC is 1548176126. It was assigned to this organization in the NPPES registry on August 21, 2026.

Where is Authentic Self LLC located?

Authentic Self LLC is located at 3333 Iris Ave Ste 210, Boulder, CO 80301. The listed phone number is (970) 470-1240.

What is Authentic Self 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 Authentic Self LLC was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.