Wave Counseling and Consulting LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WAVE COUNSELING AND CONSULTING LLC

Practice address

359 S Water St
Marine City, MI 48039-1694

Phone

(810) 202-2662

NPI assigned

Jul 4, 2024

Organization subpart

No

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

Authorized official

Name

Tanya Bishop, LMSWNPI 1578963716

Title

Owner

Phone

(734) 205-7888

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Tanya Bishop, LMSW

  • Social Worker
  • Marine City, MI
  • NPI 1578963716
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1720051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720051200000",
    "number": "1932945342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 N WILLIAM ST",
            "city": "MARINE CITY",
            "state": "MI",
            "postal_code": "480393706",
            "telephone_number": "734-205-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 S WATER ST",
            "city": "MARINE CITY",
            "state": "MI",
            "postal_code": "480391694",
            "telephone_number": "810-202-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVE COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-04",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-205-7888",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Stockwell
• Ricci Danielle Turner
• Kathy Uppleger
• Mary Jo Ann Walentovic
• Tamalynn Marie Ward
• Gerald M Wesley, D.D.S.,M.S.
• Woodward Detroit CVS, L.L.C.
• Hannah Gertrude Yurgens
• Christopher J Zimmer, DC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Marine City, MI
• Providers in Marine City, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.