Organization Active NPI

Mindful Waves Wellness LLC

  • Mental Health Counselor
  • North Chelmsford, MA
National Provider Identifier
1669292280
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MINDFUL WAVES WELLNESS LLC
Practice address
10 Adams St Ste 2
North Chelmsford, MA 01863-1746
Phone
(978) 216-2816
NPI assigned
Oct 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Brittney R Six, LMHCNPI 1033888367
Title
Psychotherapist
Phone
(978) 216-2816

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

10 Adams St Ste 2
North Chelmsford, MA 01863-1746

Mailing address

10 Adams St Ste 2
North Chelmsford, MA 01863-1746
Phone (978) 216-2816

National Provider Directory

National Provider Directory

Locations

10 Adams St
Ste 2
North Chelmsford, MA 01863
Phone (978) 251-7337

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": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1669292280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ADAMS ST STE 2",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018631746",
            "telephone_number": "978-216-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ADAMS ST STE 2",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018631746",
            "telephone_number": "978-216-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL WAVES WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "SIX",
        "authorized_official_first_name": "BRITTNEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "978-216-2816",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.