NPIMap

Organization Active NPI

Wave Professional Clinical Counselors, Inc.

  • Community/Behavioral Health Agency
  • Carlsbad, CA
National Provider Identifier
1700288768
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WAVE PROFESSIONAL CLINICAL COUNSELORS, INC.
Practice address
3150 Pio Pico Dr
Ste. 105
Carlsbad, CA 92008-1951
Phone
(760) 500-3325
Fax
(714) 739-4008
NPI assigned
Sep 22, 2014
Last updated
Nov 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Authorized official

Name
Mr. Mark C Brewer, LMFTNPI 1023154358
Title
Owner
Phone
(760) 500-3325

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Psychologist 103T00000X NU
Clinical Social Worker 1041C0700X NU
Marriage & Family Therapist 106H00000X MFC46057 CA
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

3150 Pio Pico Dr
Ste. 105
Carlsbad, CA 92008-1951

Mailing address

3150 Pio Pico Dr
Ste. 105
Carlsbad, CA 92008-1951
Phone (760) 500-3325

Other practice location 1

2851 Camino Del Rio S Ste 300
San Diego, CA 92108-3814
Phone (760) 500-3325

Other practice location 2

23181 La Cadena Dr Ste 101
Laguna Hills, CA 92653-1479
Phone (760) 500-3325

Other practice location 3

2945 Harding St Ste 100
Carlsbad, CA 92008-1818
Phone (760) 500-3325

Other practice location 4

314 S Melrose Dr Ste 100
Vista, CA 92081-6669
Phone (760) 500-3325

Other practice location 5

16959 Bernardo Center Dr Ste 102
San Diego, CA 92128-2554
Phone (760) 500-3325

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150911000030 CA Part B Supplier - Clinic/Group Practice 6305153123 Receives reassigned benefits from 17 practitioners
1 other NPI on this enrollment
Practice locations: Carlsbad, CA; El Cajon, CA; Laguna Hills, CA; San Diego, CA; Vista, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2945 Harding St
Ste 100
Carlsbad, CA 92008
Phone (760) 434-3443

16959 Bernardo Center Dr
Ste 102
San Diego, CA 92128
Phone (766) 500-3325

314 S Melrose Dr
Ste 100
Vista, CA 92081
Phone (619) 752-4745

Practitioners & affiliated clinicians

Practitioners 72

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.

View all 72

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1700288768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 PIO PICO DR",
            "address_2": "STE. 105",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081951",
            "telephone_number": "760-500-3325",
            "fax_number": "714-739-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 PIO PICO DR",
            "address_2": "STE. 105",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081951",
            "telephone_number": "760-500-3325",
            "fax_number": "714-739-4008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2851 Camino Del Rio S Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921083814",
            "country_code": "US",
            "telephone_number": "760-500-3325",
            "fax_number": "760-800-4099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23181 La Cadena Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926531479",
            "country_code": "US",
            "telephone_number": "760-500-3325",
            "fax_number": "760-800-4099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2945 Harding St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920081818",
            "country_code": "US",
            "telephone_number": "760-500-3325",
            "fax_number": "760-800-4099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "314 S Melrose Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920816669",
            "country_code": "US",
            "telephone_number": "760-500-3325",
            "fax_number": "760-800-4099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16959 Bernardo Center Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921282554",
            "country_code": "US",
            "telephone_number": "760-500-3325",
            "fax_number": "760-800-4099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WAVE PROFESSIONAL CLINICAL COUNSELORS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-500-3325",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC46057",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.