OMNI COMMUNITY HEALTH
NPI 1881743805
Counselor - Mental Health in Cookeville, TN

Active since January 09, 2007CLIA 44D2217763 · Waiver
665 SOUTH JEFFERSON AVE, COOKEVILLE, TN 38501(931) 528-0051(931) 582-0021 Get Directions Write a Review

NPPES record last updated: September 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Omni Community Health NPPES

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

OMNI COMMUNITY HEALTH (NPI 1881743805) is a healthcare organization registered as a mental health in Cookeville, Tennessee and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through March 22, 2027 and lists Mark Just, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1881743805
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameOMNI COMMUNITY HEALTH
Location Address665 SOUTH JEFFERSON AVECookeville, TN 38501-4011
Mailing Address301 S. Perimeter Park Drive, Suite 210Nashville, TN 37211-4128 · (615) 726-3603 · Fax (615) 827-0421
Fax(931) 582-0021
Organization SubpartNo
Authorized OfficialMark JustChief Executive Officer · (615) 726-3603
Enumeration DateJanuary 9, 2007
Last NPPES UpdateSeptember 2, 2020
NPPES CertifiedSeptember 2, 2020
NPI 1881743805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in TN · L 214-017-3653
Also ListedPsychologistTaxonomy 103T00000X · License L 214-017-3653 (TN)
Also ListedSocial WorkerTaxonomy 104100000X · License L 214-017-3653 (TN)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License L 214-017-3653 (TN)
Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X · License L 214-017-3653 (TN)
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License L 214-017-3653 (TN)
Also ListedLicensed Practical NurseTaxonomy 164W00000X · License L 214-017-3653 (TN)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License L 214-017-3653 (TN)
Also ListedCase ManagementTaxonomy 251B00000X · License L214-017-3653 (TN)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License L 214-017-3653 (TN)
665 SOUTH JEFFERSON AVE, Cookeville, TN 38501

Other Identifiers 2

MedicaidQ019886TN
Medicaid3376955TN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 44D2217763

Omni Community Health - Cookeville · Cookeville, TN
Active · expires Mar 22, 2027
CLIA Number44D2217763
Laboratory TypePhysician Office
Certificate Effective DateMarch 23, 2025
Certificate Expiration DateMarch 22, 2027
Laboratory DirectorDr. Cynthia Rector
Laboratory Phone(931) 528-0051
Laboratory LocationOmni Community Health - Cookeville665 South Jefferson Ave, Cookeville, TN 38501
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Community Health's NPI number?

The NPI number for Omni Community Health is 1881743805. It was assigned to this organization in the NPPES registry on January 9, 2007.

Where is Omni Community Health located?

Omni Community Health is located at 665 South Jefferson Ave, Cookeville, TN 38501. The listed phone number is (931) 528-0051.

What is Omni Community Health's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Does Omni Community Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2217763) is associated with this NPI, valid through March 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Omni Community Health was last updated on September 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.