Retrac Enterprises Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RETRAC ENTERPRISES INC

Practice address

4117 N Green Bay Ave
Milwaukee, WI 53209-7019

Phone

(414) 433-0780

Fax

(414) 433-5780

NPI assigned

Apr 5, 2022

Organization subpart

No

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

Authorized official

Name

Amber Ellis, PHYSICIAN ASSISTANT

Title

Owner

Phone

(414) 218-8670

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• RETRAC Enterprises INC Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amber Ward, PA

  • Physician Assistant
  • Milwaukee, WI
  • NPI 1760613327
  Medicare reassignment
• Yasmine Michelle Morton

  • Counselor
  • Milwaukee, WI
  • NPI 1043839517
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1306587167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4117 N GREEN BAY AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532097019",
            "telephone_number": "414-218-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4117 N GREEN BAY AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532097019",
            "telephone_number": "414-433-0780",
            "fax_number": "414-433-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETRAC ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2025-09-02",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-218-8670",
        "authorized_official_credential": "PHYSICIAN ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760613327",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RETRAC Enterprises INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Resurrection Consulting Services, Inc.
• Karol Marie Reszczynski, REGISTERED NURSE
• Brianna Jean Reti
• Retina & Vitreous Consultants of Wi, LTD.
• Elissa Ann Retkowski, MS, CCC-SLP
• Janet Retseck, M.D.
• Renee E Rettler, O.T.R.
• Susan M Retzack, MD
• Debra Ann Retzer, FNP
• Lindsey Retzer, MSW, LCSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.