Active NPI
Excel Kidz Inc
- Mental Health Counselor
- Monroe, NC
National Provider Identifier
1285430124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- EXCEL KIDZ INC
- Practice address
- 4831 Old Charlotte Hwy Ste a
Monroe, NC 28110-6300 - Phone
- (704) 575-2142
- NPI assigned
- Feb 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mario Jackson
- Title
- Owner
- Phone
- (704) 575-2142
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4831 Old Charlotte Hwy Ste a
Monroe, NC 28110-6300
Mailing address
1736 Dickerson Blvd Ste 155
Monroe, NC 28110-2832
National Provider Directory
National Provider DirectoryLocations
4831 Old Charlotte Hwy
Ste A
Monroe, NC 28110
Phone (704) 575-2142
1736 Dickerson Blvd
Ste 155
Monroe, NC 28110
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Monroe, NC
- NPI 1689479412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740096000000",
"number": "1285430124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1736 DICKERSON BLVD STE 155",
"city": "MONROE",
"state": "NC",
"postal_code": "281102832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4831 OLD CHARLOTTE HWY STE A",
"city": "MONROE",
"state": "NC",
"postal_code": "281106300",
"telephone_number": "704-575-2142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCEL KIDZ INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-21",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "MARIO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-575-2142"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, NC
- Anthony James Evans, DPT
- Everside Health LLC
- Layne Elizabeth Eversole, M.S. CCC-SLP
- Everyday Allies, LLC
- Rachel Nichole Eves, PA
- Excel Tutoring and Personal Development
- Excel Tutoring and Personal Development
- Excel Tutoring and Personal Development
- Exodus New Beginnings, LLC
- Eye Care & Surgeons of Charlotte, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.