THIRD WAVE PSYCHOTHERAPY & ASSESSMENT, LLC
NPI 1295556975
Counselor - Mental Health in West Allis, WI
About Third Wave Psychotherapy & Assessment, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THIRD WAVE PSYCHOTHERAPY & ASSESSMENT, LLC (NPI 1295556975) is a healthcare organization registered as a mental health in West Allis, Wisconsin and active in the NPI registry since October 2024. The organization lists Kristen Payne, Psychologist/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Third Wave Psychotherapy & Assessment, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Third Wave Psychotherapy & Assessment, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Third Wave Psychotherapy & Assessment, LLC's NPI number?
The NPI number for Third Wave Psychotherapy & Assessment, LLC is 1295556975. It was assigned to this organization in the NPPES registry on October 24, 2024.
Where is Third Wave Psychotherapy & Assessment, LLC located?
Third Wave Psychotherapy & Assessment, LLC is located at 2180 S 87th St, West Allis, WI 53227. The listed phone number is (414) 215-0017.
What is Third Wave Psychotherapy & Assessment, LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Third Wave Psychotherapy & Assessment, LLC enrolled in Medicare?
Yes. Third Wave Psychotherapy & Assessment, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Third Wave Psychotherapy & Assessment, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Third Wave Psychotherapy & Assessment, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Third Wave Psychotherapy & Assessment, LLC was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Third Wave Psychotherapy & Assessment, Llc · NPI 1295556975
Mental Health organization in West Allis, Wisconsin. Organization record, active in the CMS NPPES registry since October 24, 2024.
## Identity
- **NPI:** 1295556975 (Entity type: Organization)
- **Enumerated:** October 24, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Kristen Payne, PSYCHOLOGIST/OWNER
## Practice location
- **Address:** 2180 S 87TH ST, West Allis, WI 53227-1720
- **Phone:** (414) 215-0017
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 24, 2024
- **Other identifiers:** Other 1427492347 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1295556975) · Data from the CMS NPPES public registry.