Queer Wave Counseling, PLLC
NPI 1114675998 · Adult Mental Health Clinic/Center · Youngsville, NC
Queer Wave Counseling, PLLC is a Adult Mental Health Clinic/Center organization in Youngsville, NC (NPI 1114675998).
Provider details
- NPI number
- 1114675998
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeffrey Licalzi, Owner/Psychotherapist(919) 236-3211
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Qwave
Registry dates
- Enumerated
- 2022-03-11
- Last updated
- 2022-03-11
- Certified
- 2022-03-11
Frequently asked questions
- What is Queer Wave Counseling, PLLC's NPI number?
- Queer Wave Counseling, PLLC's National Provider Identifier (NPI) is 1114675998, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Queer Wave Counseling, PLLC?
- Queer Wave Counseling, PLLC is classified in the NPPES registry as Adult Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Queer Wave Counseling, PLLC located?
- Queer Wave Counseling, PLLC's practice location on file with NPPES is 766 Moores Pond Rd, Youngsville, NC 27596-8199.
- What is Queer Wave Counseling, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Queer Wave Counseling, PLLC is (919) 236-3211.
- Who is the authorized official for Queer Wave Counseling, PLLC?
- The authorized official listed on Queer Wave Counseling, PLLC's NPPES record is Jeffrey Licalzi, Owner/Psychotherapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Queer Wave Counseling, PLLC's NPI active?
- Yes — Queer Wave Counseling, PLLC's NPI (1114675998) is active in the NPPES registry as of the last update on 2022-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.