Ride the Wave Recovery: Professional Clinical Counselor PC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

RIDE THE WAVE RECOVERY: PROFESSIONAL CLINICAL COUNSELOR PC

Practice address

104 Walnut Ave Ste 200
Santa Cruz, CA 95060-3929

Phone

(831) 275-5481

NPI assigned

Jun 24, 2019

Organization subpart

No

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

Authorized official

Name

Katherine M Zwick, LPCCNPI 1326441692

Title

Executive Director

Phone

(831) 275-5481

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Zwick, LCPC, LPCC

  • Professional Counselor
  • Santa Cruz, CA
  • NPI 1326441692
  NPD (past) Authorized official
• River Ornellas, LMFT

  • Marriage & Family Therapist
  • Santa Cruz, CA
  • NPI 1093395931
  NPD (past)

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1740841402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WALNUT AVE STE 200",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603929",
            "telephone_number": "831-275-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WALNUT AVE STE 200",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603929",
            "telephone_number": "831-275-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDE THE WAVE RECOVERY: PROFESSIONAL CLINICAL COUNSELOR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "ZWICK",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "831-275-5481",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rick K Smith DDS Inc
• Marina Rico
• Louis Riddick
• Sasha Riddle
• Shawna Cara Riddle, MD
• Eva K Rider, LMFT
• Rachel Lynn Rider, MD
• Evan Riedel
• Jillian Riedenauer, LCSW,MSW, CADCII
• Johanna Frieda Riegg-Luedge, PH.D.

• Professional Counselor in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.