Organization Active NPI

Life Excel, LLC

  • Mental Health Counselor
  • Brick, NJ
National Provider Identifier
1376688986
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
44SC04622600 Issued in NJ
Legal business name
LIFE EXCEL, LLC
Practice address
35 Beaverson Blvd Ste 1D
Brick, NJ 08723-7854
Phone
(732) 920-7933
Fax
(732) 920-2966
NPI assigned
Feb 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Kathleen Hughes, LCSW
Title
Social Worker
Phone
(732) 920-7933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 44SC04622600 NJ Primary

Addresses

Primary practice location

35 Beaverson Blvd Ste 1D
Brick, NJ 08723-7854

Mailing address

35 Beaverson Blvd Ste 1D
Brick, NJ 08723-7854

National Provider Directory

National Provider Directory
Tax ID family
Life Excel LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

35 Beaverson Blvd
Ste 1D
Brick, NJ 08723
Phone (732) 920-7932

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376688986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BEAVERSON BLVD STE 1D",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BEAVERSON BLVD STE 1D",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237854",
            "telephone_number": "732-920-7933",
            "fax_number": "732-920-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE EXCEL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "732-920-7933",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC04622600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.