Wind & Waves, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

WIND & WAVES, LLC

Practice address

1750 Kilbourn St
Elkhart, IN 46514-1920

Phone

(574) 327-6633

NPI assigned

Jan 2, 2019

Last updated

Jan 28, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lesley D Weiss

Title

Clinician/Therapist

Phone

(574) 327-6633

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548633600000",
    "number": "1497227417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 KILBOURN ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141920",
            "telephone_number": "574-327-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 KILBOURN ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141920",
            "telephone_number": "574-327-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIND & WAVES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-28",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CLINICIAN/THERAPIST",
        "authorized_official_telephone_number": "574-327-6633"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811167463",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christiaan Anthony Willig, D.D.S.
• Marla Jean Wills, LCSW
• Adam Abdul Alim Wilson, CRNA
• Danielle Wilson
• Madison Wilson
• Windsor Workcare
• Allyscia Wine
• Amanda S. Winters, CNM
• Stephanie Wise
• Witham Memorial Hospital (Greenleaf Health Campus)

• Counselor in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.