Organization Active NPI

Umatter Wellness LLC

  • Mental Health Counselor
  • Fridley, MN
National Provider Identifier
1881379824
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
UMATTER WELLNESS LLC
Practice address
7362 University Ave NE Ste 311
Fridley, MN 55432-3150
Phone
(612) 220-9765
NPI assigned
Jun 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Authorized official

Name
Lilian Achieng Omodi, CNPNPI 1124799499
Title
CNP
Phone
(612) 220-9765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

7362 University Ave NE Ste 311
Fridley, MN 55432-3150

Mailing address

7362 University Ave NE Ste 311
Fridley, MN 55432-3150
Phone (612) 220-9765

Other names 1

  • UMatter Wellness LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260213002255 MN Part B Supplier - Clinic/Group Practice 1355821828 Receives reassigned benefits from 2 practitioners
Practice locations: Fridley, MN

National Provider Directory

National Provider Directory

Locations

7362 University Ave NE
Ste 207
Fridley, MN 55432
Phone (763) 703-3278

7362 University Ave NE
Ste 311
Minneapolis, MN 55432
Phone (612) 220-9765

Practitioners & affiliated clinicians

Practitioners 3

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": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1881379824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7362 UNIVERSITY AVE NE STE 311",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323150",
            "telephone_number": "612-220-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7362 UNIVERSITY AVE NE STE 311",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323150",
            "telephone_number": "612-220-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMATTER WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-17",
        "status": "A",
        "authorized_official_last_name": "OMODI",
        "authorized_official_first_name": "LILIAN",
        "authorized_official_middle_name": "ACHIENG",
        "authorized_official_title_or_position": "CNP",
        "authorized_official_telephone_number": "612-220-9765",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UMatter Wellness LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fridley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.