Organization · Type 2 NPI

Omni Youth Services, Inc.

Mental Health Clinic/Center (Including Community Mental Health Center) · Buffalo Grove, IL

NPI number 1124401179 Active

Practice location

1111 W Lake Cook Rd
Buffalo Grove, IL 60689

Call (847) 353-1500 Map

Fax (847) 465-1964

Other practice locations

1880 W Winchester Rd Ste 108, Libertyville, IL 60048-5321 · (224) 676-2317

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed
Adult Mental Health Clinic/Center	261QM0850X	None listed
Adolescent and Children Mental Health Clinic/Center	261QM0855X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

Other mental health clinic/center (including community mental health center) providers in Buffalo Grove

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NPI record

NPI: 1124401179
Entity type: Organization (Type 2)
Issued: Jul 8, 2015
Last updated: Jan 8, 2026
Status: Active
Subpart: Yes of Omni Youth Services, Inc.

Other names

<unavail>
Edge Counseling Solutions · doing business as
Edge Counseling Solutions · doing business as

Authorized official

Mr. Shanan Matthew Egger, CFO
CFO
(847) 353-1762

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124401179

Omni Youth Services, Inc.'s National Provider Identifier is 1124401179, issued on Jul 8, 2015. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Buffalo Grove, IL. The record was last updated on Jan 8, 2026.