NPIMap

Organization Active NPI

Excel Mental Health Services, LLC

  • Professional Counselor
  • Pauls Valley, OK
National Provider Identifier
1104295500
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5643 Issued in OK
Legal business name
EXCEL MENTAL HEALTH SERVICES, LLC
Practice address
513 S Willow St
Pauls Valley, OK 73075-3849
Phone
(405) 926-2085
Fax
(405) 926-2089
NPI assigned
Sep 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Authorized official

Name
Mr. Randy Hugh Gardenhire, MS, LPC
Title
Ceo
Phone
(580) 399-3071

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 5643 OK Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 1147 OK

Addresses

Primary practice location

513 S Willow St
Pauls Valley, OK 73075-3849

Mailing address

PO Box 826
Pauls Valley, OK 73075-0826
Phone (405) 926-2085

Other names 1

  • Excel MHS, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

513 S Willow St
Pauls Valley, OK 73075
Phone (405) 238-7311

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1104295500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 826",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730750826",
            "telephone_number": "405-926-2085",
            "fax_number": "405-926-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 S WILLOW ST",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730753849",
            "telephone_number": "405-926-2085",
            "fax_number": "405-926-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "GARDENHIRE",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "HUGH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-399-3071",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "5643",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "1147",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excel MHS, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pauls Valley, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.