Active NPI
Balanced Mental Health and Wellness LLC
- Psychiatric/Mental Health Nurse Practitioner
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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, 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
- Octavia N Manuel-Wright
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2221541 | Balanced Mental Health and Wellness, LLC | Certificate of waiver | Apr 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Port Washington, WI
- NPI 1598950396
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.