Mental Wellness Center, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

MENTAL WELLNESS CENTER, LLC

Practice address

3431 Commodity LN
Green Bay, WI 54304-5688

Phone

(920) 445-8284

Fax

(920) 403-7360

NPI assigned

Apr 26, 2023

Organization subpart

No

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

Authorized official

Name

Steven Baue

Title

Owner/Ceo

Phone

(800) 222-8590

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Alicia Marie Gerstner, LPC

  • Mental Health Counselor
  • Green Bay, WI
  • NPI 1437677051
  NPD
• Cameron Jade Heiman

  • Professional Counselor
  • Green Bay, WI
  • NPI 1457974438
  NPD (past)

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1558059790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13125",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543073125",
            "telephone_number": "920-445-8284",
            "fax_number": "920-403-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3431 COMMODITY LN",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045688",
            "telephone_number": "920-445-8284",
            "fax_number": "920-403-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "BAUE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "800-222-8590"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasleen Mendez
• Lea Mendolla, RDH
• Raul Mendoza-Ayala, MD
• Sonia Menning, LMT
• Mental Health Partners, SC
• Meraki Therapy & Wellness, LLC
• Ellie E Mercado-Schoessow, NP
• Kristin Beth Mercado, ANP-BC
• Jessica Merchak, PT
• Natalie Dianne Mercier, CRNA

• Counselor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.