Omnis Health Life, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

OMNIS HEALTH LIFE, LLC

Practice address

2200 Garrison Blvd Ste 100 200 300
Baltimore, MD 21216-2619

Phone

(667) 212-4187

NPI assigned

Apr 13, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Rachel Wilson

Title

Chairwoman

Phone

(678) 561-3037

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Omnis Health Life, LLC

  • Methadone Clinic
  • Baltimore, MD
  • NPI 1154861557

  O20190211000010

  Same enrollment
• Omnis Health Life, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Baltimore, MD
  • NPI 1548794886

  O20190211000010

  Same enrollment

Tax ID family

Omnis Health Life LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Omnis Health Life, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Baltimore, MD
  • NPI 1548794886
  NPD tax ID

Practitioners 1

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

• Sarah A Merritt, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Bowie, MD
  • NPI 1730303777
  NPD

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1922532217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 GARRISON BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212162619",
            "telephone_number": "667-212-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GARRISON BLVD STE 100 200 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212162619",
            "telephone_number": "667-212-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNIS HEALTH LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CHAIRWOMAN",
        "authorized_official_telephone_number": "678-561-3037",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omi Psychiatry and TMS LLC
• Ava Omidvar, MD
• Adenike Omolola Omisore, LMSW
• Omnis Health Life, LLC
• Omnis Health Life, LLC
• Nkeiru Omo
• Tajudeen Omodeoye, PMHNP-BC
• Jennifer Omoijuanfo
• Stephanie O Omokaro, M.D.
• Angela Renisha Omoogun, LGPC

• All providers in Baltimore, MD
• Mental Health Counselor in Maryland

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.