Authentic Life Counseling and Wellness, PLLC
NPI 1518404128ActiveOrganization· Social Worker· Traverse City, MI
Social Worker in Traverse City, Michigan, registered in NPPES in January 2017. The authorized official on file is Kristina Wiersema, LMSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1518404128 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 21, 2017 |
| Last updated in NPPES | Jan 21, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 6801093573 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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