Active NPI
Green Wave Counseling and Wellness
- Mental Health Counselor
- Ravenna, NE
National Provider Identifier
1043012602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- GREEN WAVE COUNSELING AND WELLNESS
- Practice address
- 524 Verona Ave
Ravenna, NE 68869-1242 - Phone
- (308) 440-3119
- NPI assigned
- Mar 25, 2025
- Last updated
- Mar 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Holly Schmidt
- Title
- Owner
- Phone
- (308) 440-3119
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
524 Verona Ave
Ravenna, NE 68869-1242
Mailing address
524 Verona Ave
Ravenna, NE 68869-1242
Phone (308) 440-3119
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Ravenna, NE
- NPI 1962694497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742860800000",
"number": "1043012602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 VERONA AVE",
"city": "RAVENNA",
"state": "NE",
"postal_code": "688691242",
"telephone_number": "308-440-3119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 VERONA AVE",
"city": "RAVENNA",
"state": "NE",
"postal_code": "688691242",
"telephone_number": "308-440-3119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREEN WAVE COUNSELING AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-25",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A",
"authorized_official_last_name": "SCHMIDT",
"authorized_official_first_name": "HOLLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "308-440-3119"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ravenna, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.