Organization Active NPI

Waves Counseling Services LLC

  • Mental Health Counselor
  • Carrollton, GA
National Provider Identifier
1154848067
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CSW005581 Issued in GA
Legal business name
WAVES COUNSELING SERVICES LLC
Practice address
2717 N Highway 27
Carrollton, GA 30117
Phone
(470) 244-2574
Fax
(678) 890-1518
NPI assigned
Aug 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Danyale Weems, LCSW
Title
Ceo/Founder
Phone
(470) 244-2574

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X CSW005581 GA Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LCSW60265 TX
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X CSW.09923102 CO
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X SW11578 FL
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

2717 N Highway 27
Carrollton, GA 30117

Mailing address

856 Old Antioch Rd
Carrollton, GA 30117-7837
Phone (970) 682-9097

Other practice location 1

100 Professional Pl Ste 302
Carrollton, GA 30117
Phone (970) 682-9097

Other practice location 2

856 Old Antioch Rd
Carrollton, GA 30117-7837
Phone (970) 682-9097

Other practice location 3

100 Professional Pl Ste 302
Carrollton, GA 30117
Phone (970) 682-9097

Other identifiers 1

IdentifierTypeStateIssuer
0031652888BMedicaidGA

National Provider Directory

National Provider Directory

Locations

2717 N Highway 27
Carrollton, GA 30117
Phone (470) 244-2574

Practitioners & affiliated clinicians

Practitioners 7

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": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154848067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 OLD ANTIOCH RD",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301177837",
            "telephone_number": "970-682-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 N HIGHWAY 27",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "30117",
            "telephone_number": "470-244-2574",
            "fax_number": "678-890-1518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Professional Pl Ste 302",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "30117",
            "country_code": "US",
            "telephone_number": "970-682-9097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "856 Old Antioch Rd",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301177837",
            "country_code": "US",
            "telephone_number": "970-682-9097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Professional Pl Ste 302",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "30117",
            "country_code": "US",
            "telephone_number": "970-682-9097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WAVES COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WEEMS",
        "authorized_official_first_name": "DANYALE",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "470-244-2574",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "CSW005581",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "LCSW60265",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "CSW.09923102",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW11578",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0031652888B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.