NPIMap

Organization Active NPI

Waves Neurofeedback & Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Venice, FL
National Provider Identifier
1992309983
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WAVES NEUROFEEDBACK & COUNSELING, LLC
Practice address
333 Tamiami TRL S Ste 293
Venice, FL 34285-2415
Phone
(941) 451-6754
NPI assigned
Nov 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Authorized official

Name
Lindsay DecNPI 1417305061
Title
Owner
Phone
(941) 451-6754

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

333 Tamiami TRL S Ste 293
Venice, FL 34285-2415

Mailing address

333 Tamiami TRL S Ste 293
Venice, FL 34285-2415
Phone (941) 451-6754

National Provider Directory

National Provider Directory

Locations

333 Tamiami Trl S
Ste 293
Venice, FL 34285
Phone (941) 451-6754

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": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1992309983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 TAMIAMI TRL S STE 293",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852415",
            "telephone_number": "941-451-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 TAMIAMI TRL S STE 293",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852415",
            "telephone_number": "941-451-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVES NEUROFEEDBACK & COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "DEC",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-451-6754"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.