Active NPI
Waves Healing and Psychotherapy LLC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1184386963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Megan Ross, LCPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Buffalo Grove, IL
- NPI 1598317133
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.