Waves of Change, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4680 Issued in NC

Legal business name

WAVES OF CHANGE, PLLC

Practice address

215 N 35TH St
Suite 5
Morehead City, NC 28557-3185

Phone

(252) 725-0797

NPI assigned

Jun 24, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Jeannie Elizabeth Adair, LPC

Title

Manager/Owner/Counselor

Phone

(252) 725-0797

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244332800000",
    "number": "1932360724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MARY LN",
            "city": "NEWPORT",
            "state": "NC",
            "postal_code": "285709416",
            "telephone_number": "252-241-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N 35TH ST",
            "address_2": "SUITE 5",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573185",
            "telephone_number": "252-725-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVES OF CHANGE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2009-06-07",
        "status": "A",
        "authorized_official_last_name": "ADAIR",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "MANAGER/OWNER/COUNSELOR",
        "authorized_official_telephone_number": "252-725-0797",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "4680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCED PROFESSIONAL COUNSELOR",
            "identifier": "4680",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Morehead City, NC
• Providers in Morehead City, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2009; 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.