Active NPI
Omni Enrichment, Incorporation
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
National Provider Identifier
1154574549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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, INCORPORATION
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42230300 | Medicaid | WI |
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.
-
- Clinical Social Worker
- West Allis, WI
- NPI 1255582771
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.