Making Waves Mental Health LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MAKING WAVES MENTAL HEALTH LLC

Doing business as

Ellie Mental Health

Practice address

100 Foxborough Blvd Ste 230
Foxborough, MA 02035-2878

Phone

(508) 426-5883

NPI assigned

Jun 26, 2024

Last updated

Mar 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gina Flores, LICSWNPI 1134556236

Title

Clinical Director/Owner

Phone

(908) 358-2733

Specialties & licenses 2

Addresses

Other names 1

• Ellie Mental Health Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 4

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.

• Gina Flores, LICSW

  • Clinical Social Worker
  • Foxborough, MA
  • NPI 1134556236
  Medicare reassignment Care Compare group NPD Authorized official
• Katarina Alexandra Radovsky

  • Mental Health Counselor
  • Mansfield, MA
  • NPI 1336765734
  Medicare reassignment Care Compare group NPD
• Lauren Pereira, LMHC

  • Counselor
  • Foxborough, MA
  • NPI 1336099951
  Medicare reassignment NPD
• Mikayla Westcott, MC

  • Mental Health Counselor
  • Framingham, MA
  • NPI 1275192544
  Medicare reassignment

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1093550642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FOXBOROUGH BLVD STE 230",
            "city": "FOXBOROUGH",
            "state": "MA",
            "postal_code": "020352878",
            "telephone_number": "508-426-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FOXBOROUGH BLVD STE 230",
            "city": "FOXBOROUGH",
            "state": "MA",
            "postal_code": "020352878",
            "telephone_number": "508-426-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKING WAVES MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "908-358-2733",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Keating Leonard, MD
• Shawn G Linton
• Marissa Renee Lizotte
• Jodi Macleod, PA
• Amanda Beverly Major, M.S., CCC-SLP
• Jack Malafronte, PT, DPT, ATC
• Nicole Mannion, OTR/L
• Stephanie Ann Martin, NASP, LEP
• Janine Madelene Sousa Martins
• Kimberly A. Masood, PA-C

• Clinical Social Worker in Foxborough, MA
• Providers in Foxborough, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.