Authentic Self Association LLC
NPI 1720854466 · Clinical Social Worker · Williamsburg, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Authentic Self Association LLC is a Clinical Social Worker organization in Williamsburg, VA (NPI 1720854466).
Provider details
- NPI number
- 1720854466
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Coty Mills, Owner/Therapist(757) 918-3381
Specialties & taxonomies
Behavioral Health & Social Service Providers
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
- 2023-12-04
- Last updated
- 2023-12-04
- Certified
- 2023-12-02
Frequently asked questions
- What is Authentic Self Association LLC's NPI number?
- Authentic Self Association LLC's National Provider Identifier (NPI) is 1720854466, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Authentic Self Association LLC?
- Authentic Self Association LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Authentic Self Association LLC located?
- Authentic Self Association LLC's practice location on file with NPPES is 4404 Eaglebrook Dr, Williamsburg, VA 23188-8038.
- What is Authentic Self Association LLC's phone number?
- The practice phone number listed in the NPPES registry for Authentic Self Association LLC is (757) 918-3381.
- Does Authentic Self Association LLC accept Medicare?
- Authentic Self Association LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Authentic Self Association LLC?
- The authorized official listed on Authentic Self Association LLC's NPPES record is Coty Mills, Owner/Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Authentic Self Association LLC's NPI active?
- Yes — Authentic Self Association LLC's NPI (1720854466) is active in the NPPES registry as of the last update on 2023-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.