{"npi":"1396484366","type":"NPI-2","status":"active","name":{"display":"Authentic Wellness, LLC","other":[],"organization_name":"AUTHENTIC WELLNESS, LLC","authorised_official":"Kelly Niileksela"},"specialty":{"primary_taxonomy":"101YP2500X","primary_taxonomy_description":"Professional Counselor","slug":"professional-counselor","schema_org_specialty":null,"all":[{"code":"1041C0700X","description":"Clinical Social Worker","primary":false,"state":null,"license":null},{"code":"101YP2500X","description":"Professional Counselor","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"54354 STATE HIGHWAY M203","city":"HANCOCK","state":"MI","postal_code":"499309448","country_code":"US","phone":"9062814806"},{"purpose":"MAILING","street_1":"54354 STATE HIGHWAY M203","city":"HANCOCK","state":"MI","postal_code":"499309448","country_code":"US","phone":"9062814806"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20231101001637","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MI","pac_id":"9931555612"}]},"enumeration_date":"2022-05-30","last_updated":"2023-08-06","_meta":{"source":"NPPES","snapshot_date":"2023-08-06","doc_url":"https://findmynpi.com/api"}}