TARGET BEHAVIORAL HEALTH SERVICES, LLC
NPI 1235749771
Nurse Practitioner - Psychiatric/Mental Health in Bel Air, MD

Q: What is Target Behavioral Health Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since August 07, 2020

15 E CHURCHVILLE RD STE 106, BEL AIR, MD 21014(410) 888-7143(410) 888-7145 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 9, 2025, Jun 2, 2025, Mar 10, 2021 and 2 more (5 updates tracked since 2020).

On this page

About Target Behavioral Health Services, Llc NPPES

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

TARGET BEHAVIORAL HEALTH SERVICES, LLC (NPI 1235749771) is a healthcare organization registered as a psychiatric/mental health in Bel Air, Maryland and active in the NPI registry since August 2020. The organization maintains a secondary practice location in Bel Air and lists Folashade Kanimodo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1235749771

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameTARGET BEHAVIORAL HEALTH SERVICES, LLC

Location Address15 E CHURCHVILLE RD STE 106Bel Air, MD 21014-3837

Mailing Address1415 Moonshadow RdBel Air, MD 21015-4999 · (410) 900-8897

Phone(410) 888-7143

Fax(410) 888-7145

Organization SubpartNo

Authorized OfficialFolashade KanimodoCeo · (410) 900-8897

Enumeration DateAugust 7, 2020

Last NPPES UpdateJuly 9, 20255 updates tracked since enumeration

NPPES CertifiedJuly 9, 2025

✔ NPI 1235749771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

15 E CHURCHVILLE RD STE 106, Bel Air, MD 21014

Open in Google Maps ↗

Other Names 1

Other NameTarget Behavioral Health Services, Llc

Secondary Practice Location 1

Location 11415 Moonshadow RdBel Air, MD 21015-4999 · Phone (410) 900-8897

Group Practice 2

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Target Behavioral Health Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Target Behavioral Health Services, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Folashade Kanimodo, FNP-BC, PMHNP-BC

Nurse Practitioner

NPI 1417174889

1700 EAST COLD SPRING LANE UNIVERSITY HEALTH CENTER
Baltimore, MD 21251

(443) 885-3236

✔ PECOS✔ Accepts Medicare18 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Target Behavioral Health Services, LLC's NPI number?

The NPI number for Target Behavioral Health Services, LLC is 1235749771. It was assigned to this organization in the NPPES registry on August 7, 2020.

Where is Target Behavioral Health Services, LLC located?

Target Behavioral Health Services, LLC is located at 15 E Churchville Rd Ste 106, Bel Air, MD 21014. The listed phone number is (410) 888-7143.

What is Target Behavioral Health Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Target Behavioral Health Services, LLC enrolled in Medicare?

Yes. Target Behavioral Health Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Target Behavioral Health Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Target Behavioral Health Services, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Target Behavioral Health Services, LLC was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.