Active NPI
Excel Prep
- Speech-Language Pathologist
- Champaign, IL
National Provider Identifier
1730869629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- EXCEL PREP
- Practice address
- 2301 W Bradley Ave
Champaign, IL 61821-1849 - Phone
- (248) 919-8627
- NPI assigned
- Jul 24, 2023
- 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
- Landria Seals Green
- Title
- Ceo
- Phone
- (248) 919-8627
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
2301 W Bradley Ave
Champaign, IL 61821-1849
Mailing address
2301 W Bradley Ave
Champaign, IL 61821-1849
Phone (248) 919-8627
Other names 2
- EXCEL PREP
- Excel Prep Learning Center
National Provider Directory
National Provider DirectoryPractitioners & 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": "1690156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1730869629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 W BRADLEY AVE",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618211849",
"telephone_number": "248-919-8627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 W BRADLEY AVE",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618211849",
"telephone_number": "248-919-8627"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCEL PREP",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-24",
"last_updated": "2025-09-11",
"certification_date": "2023-07-24",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "LANDRIA",
"authorized_official_middle_name": "SEALS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "248-919-8627"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "EXCEL PREP",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Excel Prep Learning Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.