Collegiate Mental Wellness PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

COLLEGIATE MENTAL WELLNESS PLLC

Practice address

790 Cleveland Ave S Ste 207
Saint Paul, MN 55116-3866

Phone

(952) 913-8581

NPI assigned

Jul 12, 2023

Organization subpart

No

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

Authorized official

Name

Jennifer MehmelNPI 1285664904

Title

Owner

Phone

(651) 243-0072

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Jeanne Mehmel, MD

  • Pediatrics Physician
  • Saint Paul, MN
  • NPI 1285664904
  NPD Authorized official

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1336828946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 CLEVELAND AVE S STE 207",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551163866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 CLEVELAND AVE S STE 207",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551163866",
            "telephone_number": "952-913-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGIATE MENTAL WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "MEHMEL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-243-0072"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William John Coleman
• Michaelene Colestock, LADC, LPCC
• Collaborative Care Consultants LLC
• Mildred Collazo, DDS
• College Prep Elementary
• Amanda Borde Collier, MSW, BA
• Rachel Carolyn Collier, DPM
• Gary B Collins, M.D.
• Matthew Edward Collins, D.C.
• Megan Jude Collins, NP

• Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.