Bright Waves Counseling, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BRIGHT WAVES COUNSELING, PLLC

Practice address

9624 Bailey Rd Ste 275
Cornelius, NC 28031-6120

Phone

(704) 228-6041

NPI assigned

Sep 22, 2025

Last updated

Sep 22, 2025By 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

Lauren Sussman, LCSWNPI 1821654484

Title

Owner

Phone

(704) 228-6041

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Lauren E Sussman, LCSW

  • Clinical Social Worker
  • Cornelius, NC
  • NPI 1821654484
  NPD Authorized official

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1710859533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9624 BAILEY RD STE 275",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316120",
            "telephone_number": "704-228-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9624 BAILEY RD STE 275",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316120",
            "telephone_number": "704-228-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT WAVES COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "SUSSMAN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-228-6041",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristopher Scott Boyd, DDS
• Kylie Boyer, RDN
• Sam Brake, DC
• Tracey Renee Brake
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• Brightside ABA NC LLC
• Kristina Briscoe
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• Michael Mark Broda, D.C.
• Aalasa Brooks

• Clinical Social Worker in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.