Active NPI
Waves of Healing LLC
- Counselor
- New Milford, CT
National Provider Identifier
1609587187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- WAVES OF HEALING LLC
- Practice address
- 54 Squash Hollow Rd
New Milford, CT 06776-5403 - Phone
- (203) 460-0584
- NPI assigned
- Dec 6, 2022
- 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
- Amanda Wirag, LPC
- Title
- Business Owner
- Phone
- (203) 460-0584
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
54 Squash Hollow Rd
New Milford, CT 06776-5403
Mailing address
54 Squash Hollow Rd
New Milford, CT 06776-5403
Phone (203) 460-0584
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
- New Milford, CT
- NPI 1043965411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670284800000",
"number": "1609587187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 SQUASH HOLLOW RD",
"city": "NEW MILFORD",
"state": "CT",
"postal_code": "067765403",
"telephone_number": "203-460-0584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 SQUASH HOLLOW RD",
"city": "NEW MILFORD",
"state": "CT",
"postal_code": "067765403",
"telephone_number": "203-460-0584"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAVES OF HEALING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-06",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"status": "A",
"authorized_official_last_name": "WIRAG",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "BUSINESS OWNER",
"authorized_official_telephone_number": "203-460-0584",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.