OMNI YOUTH SERVICES, INC.
NPI 1124401179
Clinic/Center - Mental Health (Including Community Mental Health Center) in Buffalo Grove, IL
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
Specialties & Licenses 3
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Omni Youth Services, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Omni Youth Services, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Omni Youth Services, Inc. enrolled in Medicare?
Yes. Omni Youth Services, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Omni Youth Services, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Omni Youth Services, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (5), Clinical Social Worker (2) and Clinical Psychologist (1). Of these, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 9 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.
# Omni Youth Services, Inc. · NPI 1124401179
Mental Health (Including Community Mental Health Center) organization in Buffalo Grove, Illinois. Organization record, active in the CMS NPPES registry since July 8, 2015.
## Identity
- **NPI:** 1124401179 (Entity type: Organization)
- **Enumerated:** July 8, 2015
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Also known as:** EDGE Counseling Solutions (Doing Business As)
- **Organization subpart:** Yes (part of Omni Youth Services, Inc.)
- **Authorized official:** Shanan Egger, CFO
## Practice location
- **Address:** 1111 W LAKE COOK RD, Buffalo Grove, IL 60689
- **Phone:** (847) 353-1500 · **Fax:** (847) 465-1964
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (5), Clinical Social Worker (2), Clinical Psychologist (1); 1 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 8, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1124401179) · Data from the CMS NPPES public registry.