NPIMap

Organization Active NPI

Exclusive Services

  • Substance Abuse Rehabilitation Facility
  • Blue Ash, OH
National Provider Identifier
1700157591
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
EXCLUSIVE SERVICES
Practice address
11134 Luschek Dr
Blue Ash, OH 45241-2434
Phone
(513) 827-9273
Fax
(513) 818-9960
NPI assigned
Jan 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Mrs. Tracy Renee Rawls, MSW, LICDC
Title
President/Ceo
Phone
(513) 827-9273

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X
Adult Mental Health Clinic/Center 261QM0850X
Methadone Clinic 261QM2800X
Substance Abuse Rehabilitation Facility 324500000X 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151201000031 OH Part B Supplier - Clinic/Group Practice 2961702733 Receives reassigned benefits from 2 practitioners
Practice locations: Blue Ash, OH

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.

Practitioners & affiliated clinicians

Practitioners 2

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": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1700157591",
    "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",
            "fax_number": "513-818-9960"
        },
        {
            "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",
            "fax_number": "513-818-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCLUSIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "RAWLS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "513-827-9273",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LICDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.