Authentic Self Therapy PLLC
NPI 1255013504 · Mental Health Clinic/Center (Including Community Mental Health Center) · Saint Cloud, MN
Authentic Self Therapy PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Saint Cloud, MN (NPI 1255013504).
Provider details
- NPI number
- 1255013504
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nicolette Johnson, Therapist(320) 855-6557
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-08-07
- Last updated
- 2025-08-04
- Certified
- 2025-08-04
Frequently asked questions
- What is Authentic Self Therapy PLLC's NPI number?
- Authentic Self Therapy PLLC's National Provider Identifier (NPI) is 1255013504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Authentic Self Therapy PLLC?
- Authentic Self Therapy PLLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Authentic Self Therapy PLLC located?
- Authentic Self Therapy PLLC's practice location on file with NPPES is 103 Doctors Park, Saint Cloud, MN 56303-1207.
- What is Authentic Self Therapy PLLC's phone number?
- The practice phone number listed in the NPPES registry for Authentic Self Therapy PLLC is (320) 855-6557.
- Who is the authorized official for Authentic Self Therapy PLLC?
- The authorized official listed on Authentic Self Therapy PLLC's NPPES record is Nicolette Johnson, Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Authentic Self Therapy PLLC's NPI active?
- Yes — Authentic Self Therapy PLLC's NPI (1255013504) is active in the NPPES registry as of the last update on 2025-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.