OMNI YOUTH SERVICES, INC.
NPI 1124401179
Clinic/Center - Mental Health (Including Community Mental Health Center) in Buffalo Grove, IL

Active since July 08, 2015
1111 W LAKE COOK RD, BUFFALO GROVE, IL 60689(847) 353-1500(847) 465-1964 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 8, 2026, Apr 20, 2021 (2 updates tracked since 2021).

About Omni Youth Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMNI YOUTH SERVICES, INC. (NPI 1124401179), doing business as Edge Counseling Solutions, is a healthcare organization registered as a mental health (including community mental health center) in Buffalo Grove, Illinois and active in the NPI registry since July 2015. The organization maintains a secondary practice location in Libertyville and lists Shanan Matthew Egger, Cfo, as its authorized official.

NPPES Registry Identity

NPI1124401179
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameOMNI YOUTH SERVICES, INC.
Location Address1111 W LAKE COOK RDBuffalo Grove, IL 60689
Mailing Address1111 W Lake Cook RdBuffalo Grove, IL 60689 · (847) 353-1500 · Fax (847) 465-1964
Fax(847) 465-1964
Organization SubpartYes
Authorized OfficialShanan Matthew EggerCfo · (847) 353-1762
Enumeration DateJuly 8, 2015
Last NPPES UpdateJanuary 8, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
NPI 1124401179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
1111 W LAKE COOK RD, Buffalo Grove, IL 60689

Other Names 1

Doing Business AsEdge Counseling Solutions

Secondary Practice Location 1

Location 11880 W Winchester Rd Ste 108Libertyville, IL 60048-5321 · Phone (224) 676-2317

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omni Youth Services, Inc.'s NPI number?

The NPI number for Omni Youth Services, Inc. is 1124401179. It was assigned to this organization in the NPPES registry on July 8, 2015. The provider is doing business as EDGE Counseling Solutions.

Where is Omni Youth Services, Inc. located?

Omni Youth Services, Inc. is located at 1111 W Lake Cook Rd, Buffalo Grove, IL 60689. The listed phone number is (847) 353-1500.

What is Omni Youth Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Omni Youth Services, Inc. was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.