TARGET BEHAVIORAL HEALTH SERVICES, LLC
NPI 1245811009
Clinic/Center - Mental Health (Including Community Mental Health Center) in Bel Air, MD

Q: What is Target Behavioral Health Services, 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.

Active since April 14, 2021

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: January 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 26, 2026, Jun 2, 2025, Apr 14, 2021 (3 updates tracked since 2021).

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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 1245811009) is a healthcare organization registered as a mental health (including community mental health center) in Bel Air, Maryland and active in the NPI registry since April 2021. The organization maintains a secondary practice location in Bel Air and lists Folashade R Kanimodo, Director, as its authorized official.

NPPES Registry Identity

NPI1245811009

Entity TypeOrganization

Primary Taxonomy261QM0801X

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) 888-7143 · Fax (410) 888-7145

Phone(410) 888-7143

Fax(410) 888-7145

Organization SubpartNo

Authorized OfficialFolashade R KanimodoDirector · (410) 888-7143

Enumeration DateApril 14, 2021

Last NPPES UpdateJanuary 26, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2026

✔ NPI 1245811009 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

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

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Secondary Practice Location 1

Location 11415 Moonshadow RdBel Air, MD 21015-4999 · Phone (410) 888-7143 · Fax (410) 888-7145

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 1245811009. It was assigned to this organization in the NPPES registry on April 14, 2021.

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 Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

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 January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.