Organization Active NPI

Excel Counseling & Behavioral Health Services, LLC

  • Counselor
  • Lithonia, GA
National Provider Identifier
1366394959
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
EXCEL COUNSELING & BEHAVIORAL HEALTH SERVICES, LLC
Practice address
5722 Greenridge CT
Lithonia, GA 30058-2202
Phone
(404) 597-2390
Fax
(404) 597-2390
NPI assigned
Feb 13, 2026
Last updated
Feb 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Authorized official

Name
Gwendolyn Renee Williams, SHUMATE-WILLIAMS
Title
Member
Phone
(404) 597-2390

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Counselor 101Y00000X Primary
Mental Health Counselor 101YM0800X
Respite Care 385H00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

5722 Greenridge CT
Lithonia, GA 30058-2202

Mailing address

5722 Greenridge CT
Lithonia, GA 30058-2202
Phone (404) 597-2390

Other identifiers 1

IdentifierTypeStateIssuer
1003767401MedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1770940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1366394959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5722 GREENRIDGE CT",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300582202",
            "telephone_number": "404-597-2390",
            "fax_number": "404-597-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5722 GREENRIDGE CT",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300582202",
            "telephone_number": "404-597-2390",
            "fax_number": "404-597-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL COUNSELING & BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-13",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "404-597-2390",
        "authorized_official_credential": "SHUMATE-WILLIAMS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003767401",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.