Active NPI
Umatter Wellness LLC
- Mental Health Counselor
- Fridley, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lilian Achieng Omodi, CNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Minneapolis, MN
- NPI 1124799499
-
- Psychiatric/Mental Health Nurse Practitioner
- Burnsville, MN
- NPI 1902579626
-
- Psychologist
- Fridley, MN
- NPI 1225138084
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.