Active NPI
Ocean Waves Therapy LLC
- Counseling Psychologist
- Rehoboth Beach, DE
National Provider Identifier
1114790359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Legal business name
- OCEAN WAVES THERAPY LLC
- Practice address
- 36407 Fir Dr
Rehoboth Beach, DE 19971-8661 - Phone
- (302) 496-7116
- NPI assigned
- Oct 31, 2023
- 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
- Mr. Ricky L Jones, LPC
- Title
- Ceo / LPC
- Phone
- (302) 496-7116
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | Primary |
Addresses
Primary practice location
36407 Fir Dr
Rehoboth Beach, DE 19971-8661
Mailing address
19266 Coastal Hwy Unit 4
Box68
Rehoboth Beach, DE 19971
Phone (302) 496-7116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
19266 Coastal Hwy
Unit 4
Rehoboth Beach, DE 19971
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698710400000",
"number": "1114790359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19266 COASTAL HWY UNIT 4",
"address_2": "BOX68",
"city": "REHOBOTH BEACH",
"state": "DE",
"postal_code": "19971",
"telephone_number": "302-496-7116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36407 FIR DR",
"city": "REHOBOTH BEACH",
"state": "DE",
"postal_code": "199718661",
"telephone_number": "302-496-7116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCEAN WAVES THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-31",
"last_updated": "2023-10-31",
"certification_date": "2023-10-31",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "RICKY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO / LPC",
"authorized_official_telephone_number": "302-496-7116",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rehoboth Beach, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.