Organization provider

ENCOMPASS-EFFECTIVE MENTAL HEALTH SERVICES, INC

Professional Counselor Clinical Social Worker Psychiatry Physician Medicare enrolled

ENCOMPASS-EFFECTIVE MENTAL HEALTH SERVICES, INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1356402291, based in Elm Grove, WI. The organization lists 6 taxonomy classifications, with Professional Counselor recorded as primary.

Getting there

The practice address on file is 12970 W BLUEMOUND RD STE 301, Elm Grove, WI 53122. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

12970 W BLUEMOUND RD STE 301, Elm Grove, WI 53122 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
2959-123 WI Professional Counselor primary
7088-123 WI Clinical Social Worker
7527-123 WI Clinical Social Worker
21131-020 WI Psychiatry Physician
2900-125 WI Professional Counselor
3882-125 WI Mental Health Counselor
21131-020 WI Specialist
3047-125 WI Professional Counselor
1472-123 WI Clinical Social Worker
2842-057 WI Clinical Psychologist

This provider holds licence 2959-123 issued in WI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
0042115016
Enrollment ID
O20031203000369

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Professional covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YP2500X
Behavioral Health & Social Service Providers Counselor Professional

All registered taxonomy codes

This provider registers 10 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YP2500X Professional Counselor Professional 2959-123 WI primary
1041C0700X Clinical Social Worker Clinical 7088-123 WI
1041C0700X Clinical Social Worker Clinical 7527-123 WI
2084P0800X Psychiatry Physician Psychiatry 21131-020 WI
101YP2500X Professional Counselor Professional 2900-125 WI
101YM0800X Mental Health Counselor Mental Health 3882-125 WI
174400000X Specialist 21131-020 WI
101YP2500X Professional Counselor Professional 3047-125 WI
1041C0700X Clinical Social Worker Clinical 1472-123 WI
103TC0700X Clinical Psychologist Clinical 2842-057 WI

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1356402291 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateDec 13, 2006
Last updatedOct 22, 2025
StatusActive
Practice address 12970 W BLUEMOUND RD STE 301
Elm Grove, WI 53122
(414) 453-8380
Other identifiers 42176700 · Medicaid (WI)
This record was updated on Oct 22, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1356402291 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 5 6 4 0 2 2 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 1 6 8 0 4 2 9

Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1356402291?
NPI 1356402291 is the National Provider Identifier assigned to ENCOMPASS-EFFECTIVE MENTAL HEALTH SERVICES, INC in Elm Grove, WI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Professional cover?
Definition to come...
How do I contact ENCOMPASS-EFFECTIVE MENTAL HEALTH SERVICES, INC?
The phone number on file with NPPES is (414) 453-8380, last updated Oct 22, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does ENCOMPASS-EFFECTIVE MENTAL HEALTH SERVICES, INC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1356402291 a valid number?
Yes. 1356402291 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.