Organization Active NPI

Omni Enrichment, Incorporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milwaukee, WI
National Provider Identifier
1154574549
Registry record updated Feb 13, 2015
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
OMNI ENRICHMENT, INCORPORATION
Practice address
3020 W Vliet St
Milwaukee, WI 53208-2461
Phone
(414) 312-8910
NPI assigned
Oct 29, 2008
Organization subpart
Yes
Parent organization
OMNI ENRICHMENT, INCORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Authorized official

Name
Mrs. Barbara Ann Tripp, M.S., CSAC,LPC-IT
Title
Executive Director/Therapist
Phone
(414) 312-8910

Specialties & licenses 1

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

Addresses

Primary practice location

3020 W Vliet St
Milwaukee, WI 53208-2461

Mailing address

3020 W Vliet St
3897 N. 40TH Street
Milwaukee, WI 53208-2461
Phone (414) 312-8910

Other identifiers 1

IdentifierTypeStateIssuer
42230300MedicaidWI

National Provider Directory

National Provider Directory
Part of
Omni Enrichment Incorporation

Locations

3020 W Vliet St
#3897N
Milwaukee, WI 53208

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": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1154574549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 W VLIET ST",
            "address_2": "3897 N. 40TH STREET",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532082461",
            "telephone_number": "414-312-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 W VLIET ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532082461",
            "telephone_number": "414-312-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI ENRICHMENT, INCORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OMNI ENRICHMENT, INCORPORATION",
        "enumeration_date": "2008-10-29",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "TRIPP",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/THERAPIST",
        "authorized_official_telephone_number": "414-312-8910",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CSAC,LPC-IT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42230300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.