Organization Active NPI

The Wave Within Professional Clinical Counselor Corporation

  • Mental Health Counselor
  • Alameda, CA
National Provider Identifier
1851071609
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THE WAVE WITHIN PROFESSIONAL CLINICAL COUNSELOR CORPORATION
Practice address
2447 Santa Clara Ave Ste 301
Alameda, CA 94501-4579
Phone
(510) 239-7022
NPI assigned
Jul 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Annie Shirrell, LMFT, LPCCNPI 1497414205
Title
Ceo
Phone
(510) 239-7022

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

2447 Santa Clara Ave Ste 301
Alameda, CA 94501-4579

Mailing address

2447 Santa Clara Ave Ste 301
Alameda, CA 94501-4579
Phone (510) 239-7022

Other names 1

  • The Wave Within Psychotherapy Doing business as

National Provider Directory

National Provider Directory

Locations

2447 Santa Clara Ave
Ste 301
Alameda, CA 94501
Phone (510) 239-7022

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": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1851071609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2447 SANTA CLARA AVE STE 301",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014579",
            "telephone_number": "510-239-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2447 SANTA CLARA AVE STE 301",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014579",
            "telephone_number": "510-239-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WAVE WITHIN PROFESSIONAL CLINICAL COUNSELOR CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "SHIRRELL",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-239-7022",
        "authorized_official_credential": "LMFT, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wave Within Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Wave Within Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alameda, CA

Sources for this page

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