Organization Active NPI

Waves Healing and Psychotherapy LLC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1184386963
Registry record updated Oct 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
WAVES HEALING AND PSYCHOTHERAPY LLC
Practice address
727 S Dearborn St Apt 510
Chicago, IL 60605-3824
Phone
(512) 568-1966
NPI assigned
Oct 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2021

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

Authorized official

Name
Megan Ross, LCPCNPI 1598317133
Title
Owner
Phone
(512) 568-1966

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

727 S Dearborn St Apt 510
Chicago, IL 60605-3824

Mailing address

1737 N Campbell Ave Unit 1S
Chicago, IL 60647-5205
Phone (512) 568-1966

Other names 1

  • Waves Healing Center Doing business as

National Provider Directory

National Provider Directory

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": "1633737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633737600000",
    "number": "1184386963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 N CAMPBELL AVE UNIT 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475205",
            "telephone_number": "512-568-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 S DEARBORN ST APT 510",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053824",
            "telephone_number": "512-568-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVES HEALING AND PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-09",
        "last_updated": "2021-10-09",
        "certification_date": "2021-10-09",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-568-1966",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waves Healing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2021; 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.