Active NPI
Omega Youth Empowerment, PLLC
- Professional Counselor
- Adrian, MI
National Provider Identifier
1790332724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- OMEGA YOUTH EMPOWERMENT, PLLC
- Practice address
- 600 N. Broad Street
Adrian, MI 49221-2132 - Phone
- (517) 902-1754
- Fax
- (517) 759-3939
- NPI assigned
- Aug 23, 2019
- Last updated
- Sep 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jon V Schoonmaker, LPC
- Title
- Licensed Professional Counselor
- Phone
- (517) 902-1754
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
600 N. Broad Street
Adrian, MI 49221-2132
Mailing address
600 N. Broad Street
Adrian, MI 49221-2132
Phone (517) 902-1754
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P234109 | Other | MI | BLUE CROSS BLUE SHIELD |
| 12409755 | Other | MI | MERIDIAN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Adrian, MI
- NPI 1154623171
-
- Counselor
- Jenison, MI
- NPI 1316594344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758672000000",
"number": "1790332724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N. BROAD STREET",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492212132",
"telephone_number": "517-902-1754",
"fax_number": "517-759-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N. BROAD STREET",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492212132",
"telephone_number": "517-902-1754",
"fax_number": "517-759-3939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMEGA YOUTH EMPOWERMENT, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-23",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A",
"authorized_official_last_name": "SCHOONMAKER",
"authorized_official_first_name": "JON",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "517-902-1754",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "P234109",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERIDIAN",
"identifier": "12409755",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Adrian, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.