Mental Health Therapy, Sex Therapy PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MENTAL HEALTH THERAPY, SEX THERAPY PLLC

Practice address

3505 N Kolmar Ave FL 2
Chicago, IL 60641-3825

Phone

(872) 216-1763

NPI assigned

Jul 28, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Stacey Lynn Skowronski, PHD, LCSW, CSTNPI 1629498746

Title

Licensed Clinical Social Worker

Phone

(872) 216-1763

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.

• Stacey Skowronski, PHD, LCSW, CST

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1629498746
  NPD Authorized official

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1861165573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 N KOLMAR AVE FL 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413825",
            "telephone_number": "872-216-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 N KOLMAR AVE FL 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413825",
            "telephone_number": "872-216-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH THERAPY, SEX THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "SKOWRONSKI",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "872-216-1763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW, CST"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy Joseph Mensen, D.O.
• Surya P. Menta, M.D.
• Mental Health Matters LLC
• Mental Health Professional Solutions, Inc.
• Mental Health Professional Solutionsinc
• Mentella of Indiana LLC
• Mentella of Michigan PLLC
• Mentella of Wisconsin SC
• Aaron Mentzer
• Faimmiah Menyongai

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.