Waves of Change Counseling Group LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WAVES OF CHANGE COUNSELING GROUP LLC

Practice address

475 Hillside Ave Ste 2
Needham, MA 02494-1200

Phone

(781) 816-8218

NPI assigned

Jun 14, 2021

Organization subpart

No

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

Authorized official

Name

Stacy J Ott, LADC-1, LCSWNPI 1619315702

Title

Owner

Phone

(781) 816-8281

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Stacy J Ott, BS

  • Counselor
  • Salem, MA
  • NPI 1619315702
  NPD Authorized official

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1760050033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 HILLSIDE AVE STE 2",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941200",
            "telephone_number": "781-816-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 HILLSIDE AVE STE 2",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941200",
            "telephone_number": "781-816-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVES OF CHANGE COUNSELING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-816-8281",
        "authorized_official_credential": "LADC-1, LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERICAL HEALTH INSURANCE",
            "identifier": "18460",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Golding Ward
• Rachel Warner
• John Joseph Warren, ED.D.
• Sarah Waterfield
• Wave Medical Aesthetics
• Deborah Sue Wayler, M.D.
• Grace Weatherl
• Aletha Desiree Marie Webb, ANP-BC
• Eve Weber, M.S., CCC-SLP, BCBA
• Carrie Wechsler, MSW

• Mental Health Counselor in Needham, MA
• Providers in Needham, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.