Organization Active NPI

Pure Waves Counseling LLC

  • Professional Counselor
  • Menasha, WI
National Provider Identifier
1235028408
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
PURE WAVES COUNSELING LLC
Practice address
1476 Kenwood Dr Ste 102
Menasha, WI 54952-1134
Phone
(920) 376-8920
NPI assigned
Jul 1, 2025
Last updated
Jun 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Ashley Ann MatthiesNPI 1356190045
Title
Psychotherapist
Phone
(920) 376-8920

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

1476 Kenwood Dr Ste 102
Menasha, WI 54952-1134

Mailing address

W5820 Delta Dr
Menasha, WI 54952-4400
Phone (920) 376-8920

National Provider Directory

National Provider Directory

Locations

1476 Kenwood Dr
Ste 102
Menasha, WI 54952
Phone (920) 376-8920

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1235028408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W5820 DELTA DR",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549524400",
            "telephone_number": "920-376-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1476 KENWOOD DR STE 102",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521134",
            "telephone_number": "920-376-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE WAVES COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-01",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "MATTHIES",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "920-376-8920"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menasha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.