Organization Active NPI

Distracted Excellence LLC

  • Adult Mental Health Clinic/Center
  • Salisbury, MD
National Provider Identifier
1912830456
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
DISTRACTED EXCELLENCE LLC
Practice address
1500 Riverside Dr Ste 5
Salisbury, MD 21801-6740
Phone
(410) 639-3528
Fax
(443) 775-7660
NPI assigned
Jun 4, 2026
Last updated
Sep 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Mrs. Lela Gwendolyn Simon, LCPCNPI 1013673532
Title
Ceo
Phone
(302) 858-6553

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1500 Riverside Dr Ste 5
Salisbury, MD 21801-6740

Mailing address

1500 Riverside Dr Ste 5
Salisbury, MD 21801-6740
Phone (410) 639-3528

National Provider Directory

National Provider Directory

Locations

1500 Riverside Dr
Ste 5
Salisbury, MD 21801
Phone (410) 639-3528

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": "1780531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1912830456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 RIVERSIDE DR STE 5",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218016740",
            "telephone_number": "410-639-3528",
            "fax_number": "443-775-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 RIVERSIDE DR STE 5",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218016740",
            "telephone_number": "410-639-3528",
            "fax_number": "443-775-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTRACTED EXCELLENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-04",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "LELA",
        "authorized_official_middle_name": "GWENDOLYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "302-858-6553",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.