Organization Active NPI

Mendota Mobility LLC

  • Mental Health Counselor
  • Green Bay, WI
National Provider Identifier
1699686170
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MENDOTA MOBILITY LLC
Practice address
798 Element Way Apt 322
Green Bay, WI 54304-4629
Phone
(608) 807-7664
NPI assigned
Sep 15, 2026
Last updated
Sep 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Jamal M Omar
Title
Managing Member
Phone
(608) 807-7664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

798 Element Way Apt 322
Green Bay, WI 54304-4629

Mailing address

798 Element Way Apt 322
Green Bay, WI 54304-4629
Phone (608) 807-7644

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1699686170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 ELEMENT WAY APT 322",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543044629",
            "telephone_number": "608-807-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 ELEMENT WAY APT 322",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543044629",
            "telephone_number": "608-807-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDOTA MOBILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "608-807-7664"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.