Mentella of Wisconsin SC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MENTELLA OF WISCONSIN SC

Doing business as

Mentella Health

Practice address

680 N Lake Shore Dr Ste 110-1113
Chicago, IL 60611-4546

Phone

(872) 205-0456

NPI assigned

Sep 6, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jill Vance, PSYD

Title

Ceo

Phone

(872) 205-0456

Specialties & licenses 1

Addresses

Other names 1

• Mentella Health Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757116800000",
    "number": "1114807468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR STE 110-1113",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114546",
            "telephone_number": "872-205-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR STE 110-1113",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114546",
            "telephone_number": "872-205-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTELLA OF WISCONSIN SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-06",
        "last_updated": "2025-09-06",
        "certification_date": "2025-09-06",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "872-205-0456",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mentella Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mental Health Professional Solutions, Inc.
• Mental Health Professional Solutionsinc
• Mental Health Therapy, Sex Therapy PLLC
• Mentella of Indiana LLC (Mentella Health)
• Mentella of Michigan PLLC (Mentella Health)
• Aaron Mentzer
• Faimmiah Menyongai
• Will Isadore Menzel
• Gabrielle Menzies
• Poonam Ghanshyam Merai, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.