PEACEFUL WAVES COUNSELING LLC
NPI 1376354654
Social Worker - Clinical in Fort Wayne, IN

Active since January 16, 2025
1027 W RUDISILL BLVD # 207, FORT WAYNE, IN 46807(260) 225-3128 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peaceful Waves Counseling Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEACEFUL WAVES COUNSELING LLC (NPI 1376354654) is a healthcare organization registered as a clinical in Fort Wayne, Indiana and active in the NPI registry since January 2025. The organization lists Kaitlin Marie Nini, Clinical Social Worker/owner, as its authorized official.

NPPES Registry Identity

NPI1376354654
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePEACEFUL WAVES COUNSELING LLC
Location Address1027 W RUDISILL BLVD # 207Fort Wayne, IN 46807-2160
Mailing Address1027 W Rudisill Blvd # 207Fort Wayne, IN 46807-2160
Organization SubpartNo
Authorized OfficialKaitlin Marie NiniClinical Social Worker/owner · (586) 530-0735
Enumeration DateJanuary 16, 2025
NPPES CertifiedJanuary 16, 2025
NPI 1376354654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1027 W RUDISILL BLVD # 207, Fort Wayne, IN 46807

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
1027 W RUDISILL BLVD # 207
FORT WAYNE, IN 46807

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 Peaceful Waves Counseling LLC's NPI number?

The NPI number for Peaceful Waves Counseling LLC is 1376354654. It was assigned to this organization in the NPPES registry on January 16, 2025.

Where is Peaceful Waves Counseling LLC located?

Peaceful Waves Counseling LLC is located at 1027 W Rudisill Blvd # 207, Fort Wayne, IN 46807. The listed phone number is (260) 225-3128.

What is Peaceful Waves Counseling LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Peaceful Waves Counseling LLC was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.