Omni Youth Services, Inc.
NPI 1124401179 · Mental Health Clinic/Center (Including Community Mental Health Center) · Buffalo Grove, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Omni Youth Services, Inc. is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Buffalo Grove, IL (NPI 1124401179).
Provider details
- NPI number
- 1124401179
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Parent organization
- Omni Youth Services, Inc.
- Organization subpart
- Yes
- Authorized official
- Shanan Egger, Cfo(847) 353-1762
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Edge Counseling Solutions
- Doing business as
- Edge Counseling Solutions
Additional practice locations (1)
- 1880 W Winchester Rd Ste 108Libertyville, IL 60048-5321Phone: (224) 676-2317
Registry dates
- Enumerated
- 2015-07-08
- Last updated
- 2026-01-08
- Certified
- 2026-01-08
Frequently asked questions
- What is Omni Youth Services, Inc.'s NPI number?
- Omni Youth Services, Inc.'s National Provider Identifier (NPI) is 1124401179, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Omni Youth Services, Inc.?
- Omni Youth Services, Inc. is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Omni Youth Services, Inc. located?
- Omni Youth Services, Inc.'s practice location on file with NPPES is 1111 W Lake Cook Rd, Buffalo Grove, IL 60689.
- What is Omni Youth Services, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Omni Youth Services, Inc. is (847) 353-1500.
- Does Omni Youth Services, Inc. accept Medicare?
- Omni Youth Services, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Omni Youth Services, Inc.?
- The authorized official listed on Omni Youth Services, Inc.'s NPPES record is Shanan Egger, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Omni Youth Services, Inc.'s NPI active?
- Yes — Omni Youth Services, Inc.'s NPI (1124401179) is active in the NPPES registry as of the last update on 2026-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.