NPIMap

Organization Active NPI

Mental Wellness Center Inc

  • Professional Counselor
  • Normal, IL
National Provider Identifier
1629596812
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MENTAL WELLNESS CENTER INC
Practice address
405 Kays Dr Ste C
Normal, IL 61761-1979
Phone
(309) 807-5077
NPI assigned
Sep 7, 2017
Last updated
May 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Jennifer Rae Bovee, LCSWNPI 1558596833
Title
Group Practice Owner
Phone
(309) 807-5077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

405 Kays Dr Ste C
Normal, IL 61761-1979

Mailing address

405 Kays Dr Ste C
Normal, IL 61761-1979
Phone (309) 807-5077

National Provider Directory

National Provider Directory

Locations

202 N Prospect Rd
Ste 205
Bloomington, IL 61704
Phone (309) 807-5077

205 N Williamsburg Dr
Ste A
Bloomington, IL 61704
Phone (309) 306-1086

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1629596812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 KAYS DR STE C",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617611979",
            "telephone_number": "309-807-5077",
            "fax_number": "309-417-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 KAYS DR STE C",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617611979",
            "telephone_number": "309-807-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "BOVEE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "GROUP PRACTICE OWNER",
        "authorized_official_telephone_number": "309-807-5077",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.