Organization Active NPI

Excel Kidz Inc

  • Mental Health Counselor
  • Monroe, NC
National Provider Identifier
1285430124
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Mario JacksonNPI 1689479412
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.