Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Authenticity Recovery LLC

Organization Mental Health Counselor · NPI 1295618635

Authenticity Recovery LLC is a Mental Health Counselor in Grand Rapids, Michigan. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4500 Cascade Rd SE Ste 102
Grand Rapids, MI 49546-3665
Phone: (616) 638-7408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Nutritionist Taxonomy 133N00000X
Health & Wellness Coach Taxonomy 171400000X

Record details

NPI number1295618635
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justyne Ortquist — Clinical Director · (616) 638-7408
NPI enumeratedJuly 30, 2025
Last updated in NPPESOctober 25, 2025
Certification dateOctober 25, 2025
Mailing address4500 Cascade Rd Se Ste 102, Grand Rapids, MI 49546-3665

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