NPIMap

Organization Active NPI

Exclusive Services

  • Mental Health Counselor
  • Blue Ash, OH
National Provider Identifier
1174973499
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
017546 Issued in OH
Legal business name
EXCLUSIVE SERVICES
Practice address
11134 Luschek Dr
Blue Ash, OH 45241-2434
Phone
(513) 827-9273
NPI assigned
Jun 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Authorized official

Name
Tracy Rawls MSW, Licdc 07, MSW,LICDC
Title
Ceo/Founder
Phone
(513) 827-9273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 017546 OH Primary

Addresses

Primary practice location

11134 Luschek Dr
Blue Ash, OH 45241-2434

Mailing address

11134 Luschek Dr
Blue Ash, OH 45241-2434
Phone (513) 827-9273

Other identifiers 5

IdentifierTypeStateIssuer
CL02255465003OtherOHOHIO PHARMACY BOARD LICENSE
017546OtherOHODMHA MENTAL HEALTH SERVICES
13833OtherOHODMHA ALCOHOL AND DRUG SERVICES
H259510OtherOHMEDICARE PTAN
0064132MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Exclusive Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1174973499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11134 LUSCHEK DR",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452412434",
            "telephone_number": "513-827-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11134 LUSCHEK DR",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452412434",
            "telephone_number": "513-827-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCLUSIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-17",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "07",
        "authorized_official_first_name": "TRACY RAWLS",
        "authorized_official_middle_name": "MSW, LICDC",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "513-827-9273",
        "authorized_official_credential": "MSW,LICDC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "017546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO PHARMACY BOARD LICENSE",
            "identifier": "CL02255465003",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODMHA MENTAL HEALTH SERVICES",
            "identifier": "017546",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODMHA ALCOHOL AND DRUG SERVICES",
            "identifier": "13833",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H259510",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0064132",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.