RETRAC ENTERPRISES INC
NPI 1306587167
Clinic/Center - Mental Health (Including Community Mental Health Center) in Milwaukee, WI

Active since April 05, 2022CLIA 52D2339859 · Waiver
4117 N GREEN BAY AVE, MILWAUKEE, WI 53209(414) 433-0780(414) 433-5780 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 2, 2025, Jun 6, 2024, Jan 5, 2023 and 1 more (4 updates tracked since 2022).

About Retrac Enterprises Inc NPPES

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

RETRAC ENTERPRISES INC (NPI 1306587167) is a healthcare organization registered as a mental health (including community mental health center) in Milwaukee, Wisconsin and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through March 8, 2028 and lists Amber Ellis, Owner, as its authorized official.

NPPES Registry Identity

NPI1306587167
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameRETRAC ENTERPRISES INC
Location Address4117 N GREEN BAY AVEMilwaukee, WI 53209-7019
Mailing Address4117 N Green Bay AveMilwaukee, WI 53209-7019 · (414) 218-8670
Fax(414) 433-5780
Organization SubpartNo
Authorized OfficialAmber EllisOwner · (414) 218-8670
Enumeration DateApril 5, 2022
Last NPPES UpdateSeptember 2, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2024
NPI 1306587167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
4117 N GREEN BAY AVE, Milwaukee, WI 53209

Other Names 1

Doing Business AsRetrac Enterprises Inc

Other Identifiers 1

Medicaid1760613327WI

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2339859

Retrac Enterprises Inc · Milwaukee, WI
Active · expires Mar 8, 2028
CLIA Number52D2339859
Laboratory TypeMental Health Outpatient
Certificate Effective DateMarch 9, 2026
Certificate Expiration DateMarch 8, 2028
Laboratory DirectorAmber R. Ward
Laboratory Phone(414) 433-0780
Laboratory LocationRetrac Enterprises Inc4117 N Green Bay Ave, Milwaukee, WI 53209
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
4117 N GREEN BAY AVE
MILWAUKEE, WI 53209

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 Retrac Enterprises Inc's NPI number?

The NPI number for Retrac Enterprises Inc is 1306587167. It was assigned to this organization in the NPPES registry on April 5, 2022.

Where is Retrac Enterprises Inc located?

Retrac Enterprises Inc is located at 4117 N Green Bay Ave, Milwaukee, WI 53209. The listed phone number is (414) 433-0780.

What is Retrac Enterprises 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.

Does Retrac Enterprises Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2339859) is associated with this NPI, valid through March 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Retrac Enterprises Inc accept?

Health plans from Anthem Blue Cross and Blue Shield and Quartz list Retrac Enterprises Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Retrac Enterprises Inc was last updated on September 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.