Organization Active NPI

Anchor and Wave Wellness LLC

  • Clinical Social Worker
  • Monona, WI
National Provider Identifier
1316738008
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ANCHOR AND WAVE WELLNESS LLC
Practice address
6320 Monona Dr Ste 315
Monona, WI 53716-3985
Phone
(828) 231-3339
NPI assigned
May 13, 2025
Last updated
May 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Jennifer CummingsNPI 1154591626
Title
Co-Owner
Phone
(828) 231-3339

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

6320 Monona Dr Ste 315
Monona, WI 53716-3985

Mailing address

6320 Monona Dr Ste 315
Monona, WI 53716-3985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250701004681 WI Part B Supplier - Clinic/Group Practice 7517470636 Receives reassigned benefits from 2 practitioners
Practice locations: Monona, WI

National Provider Directory

National Provider Directory

Locations

6320 Monona Dr
Ste 315
Monona, WI 53716
Phone (828) 231-3339

Practitioners & affiliated clinicians

Practitioners 2

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": "1747094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1316738008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 MONONA DR STE 315",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 MONONA DR STE 315",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163985",
            "telephone_number": "828-231-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHOR AND WAVE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "828-231-3339"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.