Organization Active NPI

Waves of Change Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
National Provider Identifier
1235873571
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WAVES OF CHANGE COUNSELING, LLC
Practice address
8414 Farm Rd Ste 180-324
Las Vegas, NV 89131-8170
Phone
(702) 518-3592
NPI assigned
Apr 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Authorized official

Name
Erica Hunter, LCSWNPI 1396072146
Title
Owner
Phone
(702) 518-3592

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

8414 Farm Rd Ste 180-324
Las Vegas, NV 89131-8170

Mailing address

8414 Farm Rd Ste 180-324
Las Vegas, NV 89131-8170
Phone (702) 518-3592

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ericawavesofchange@gmail.com

National Provider Directory

National Provider Directory

Locations

8414 Farm Rd
Ste 180324
Las Vegas, NV 89131
Phone (702) 518-3592

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": "1650585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1235873571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8414 FARM RD STE 180-324",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891318170",
            "telephone_number": "702-518-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8414 FARM RD STE 180-324",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891318170",
            "telephone_number": "702-518-3592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVES OF CHANGE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-518-3592",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ericawavesofchange@gmail.com",
            "affiliation": "N",
            "address_1": "8414 Farm Rd Ste 180-324",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891318170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.