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EXCELSIOR MENTAL HEALTH SERVICES
NPI 1336718287
Clinic/Center - Mental Health (Including Community Mental Health Center) in Las Cruces, NM

Active since June 23, 2021
1705 N VALLEY DR STE 12, LAS CRUCES, NM 88007(575) 642-5544 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 7, 2021, Jun 23, 2021 (2 updates tracked since 2021).

About Excelsior Mental Health Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXCELSIOR MENTAL HEALTH SERVICES (NPI 1336718287) is a healthcare organization registered as a mental health (including community mental health center) in Las Cruces, New Mexico and active in the NPI registry since June 2021. The organization lists Jason Wyatt, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1336718287
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameJASON WYATT, LPCC, LLC
Location Address1705 N VALLEY DR STE 12Las Cruces, NM 88007-5121
Mailing AddressPo Box 375Fairacres, NM 88033-0375
Phone(575) 642-5544
Organization SubpartNo
Authorized OfficialJason WyattOwner/therapist · (575) 642-5544
Enumeration DateJune 23, 2021
Last NPPES UpdateSeptember 7, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2021
✔ NPI 1336718287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1705 N VALLEY DR STE 12, Las Cruces, NM 88007
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Other Names 1

Doing Business AsExcelsior Mental Health Services

Other Identifiers 1

Medicaid61121282NM

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASON WAYNE WYATT LPCC
Counselor (Professional)
1705 N VALLEY DR STE 12
LAS CRUCES, NM 88007
Doña Ana County (575) 642-5544

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Wyatt, Lpcc, LLC's NPI number?

The NPI number for Jason Wyatt, Lpcc, LLC is 1336718287. It was assigned to this organization in the NPPES registry on June 23, 2021. The provider is doing business as Excelsior Mental Health Services.

Where is Jason Wyatt, Lpcc, LLC located?

Jason Wyatt, Lpcc, LLC is located at 1705 N Valley Dr Ste 12, Las Cruces, NM 88007. The listed phone number is (575) 642-5544.

What is Jason Wyatt, Lpcc, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Jason Wyatt, Lpcc, LLC was last updated on September 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.