Organization Active NPI

Balanced Mental Health and Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1932790037
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BALANCED MENTAL HEALTH AND WELLNESS LLC
Practice address
7929 N 76TH St
Milwaukee, WI 53223-3947
Phone
(414) 376-8830
Fax
(414) 376-6808
NPI assigned
Feb 1, 2021
Last updated
Oct 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Authorized official

Name
Octavia N Manuel-WrightNPI 1598950396
Title
Owner of Entity
Phone
(414) 376-8830

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary
Primary Care Nurse Practitioner 363LP2300X

Addresses

Primary practice location

7929 N 76TH St
Milwaukee, WI 53223-3947

Mailing address

7929 N 76TH St
Milwaukee, WI 53223-3947
Phone (414) 376-8830

Other practice location 1

5050 W Brown Deer Rd
Brown Deer, WI 53223-2424
Phone (414) 376-8830

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2221541Balanced Mental Health and Wellness, LLC7929 N 76TH Street, Milwaukee, WI 53223Certificate of waiverApr 21, 2027

National Provider Directory

National Provider Directory

Locations

7929 N 76th St
Milwaukee, WI 53223
Phone (414) 371-1000

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1932790037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7929 N 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532233947",
            "telephone_number": "414-376-8830",
            "fax_number": "414-376-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7929 N 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532233947",
            "telephone_number": "414-376-8830",
            "fax_number": "414-376-6808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5050 W Brown Deer Rd",
            "address_purpose": "LOCATION",
            "city": "Brown Deer",
            "state": "WI",
            "postal_code": "532232424",
            "country_code": "US",
            "telephone_number": "414-376-8830",
            "fax_number": "414-509-1549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BALANCED MENTAL HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-01",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "MANUEL-WRIGHT",
        "authorized_official_first_name": "OCTAVIA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "414-376-8830"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.