NPIMap

Organization Active NPI

A Wave of Change

  • Addiction (Substance Use Disorder) Counselor
  • Waterbury, CT
National Provider Identifier
1063187672
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
A WAVE OF CHANGE
Doing business as
A Wave of Change
Practice address
1138 W Main St
Waterbury, CT 06708-2730
Phone
(860) 631-7303
NPI assigned
Aug 16, 2021
Last updated
Jun 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Rosalie Anne Spinella, LADC, CADCNPI 1053996322
Title
Substance Abuse Recovery Counselor
Phone
(860) 631-7303

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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary

Addresses

Primary practice location

1138 W Main St
Waterbury, CT 06708-2730

Mailing address

1138 W Main St
Waterbury, CT 06708-2730
Phone (860) 631-7303

Other names 1

  • A WAVE OF CHANGE Doing business as

National Provider Directory

National Provider Directory

Locations

670 Main St S
Woodbury, CT 06798
Phone 2032633175 ext. 109

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1063187672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082730",
            "telephone_number": "860-631-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082730",
            "telephone_number": "860-631-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A WAVE OF CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-16",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "SPINELLA",
        "authorized_official_first_name": "ROSALIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "SUBSTANCE ABUSE RECOVERY COUNSELOR",
        "authorized_official_telephone_number": "860-631-7303",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LADC, CADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A WAVE OF CHANGE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A WAVE OF CHANGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.

Verify at the official NPI Registry.