INNOVATIVE BEHAVIORAL CONCEPTS LLC
NPI 1306592894
Community/Behavioral Health in Marlton, NJ

Q: What is Innovative Behavioral Concepts LLC's NPI number?

The NPI number for Innovative Behavioral Concepts LLC is 1306592894. It was assigned to this organization in the NPPES registry on February 23, 2022.

Q: What is Innovative Behavioral Concepts LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since February 23, 2022

104 CENTRE BLVD STE A, MARLTON, NJ 08053(856) 258-7464 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Innovative Behavioral Concepts Llc NPPES

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

INNOVATIVE BEHAVIORAL CONCEPTS LLC (NPI 1306592894) is a healthcare organization registered as a community/behavioral health in Marlton, New Jersey and active in the NPI registry since February 2022. The organization lists Elrita Godbold, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1306592894

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameINNOVATIVE BEHAVIORAL CONCEPTS LLC

Location Address104 CENTRE BLVD STE AMarlton, NJ 08053-4130

Mailing Address104 Centre Blvd Ste AMarlton, NJ 08053-4130 · (856) 258-7464

Phone(856) 258-7464

Organization SubpartNo

Authorized OfficialElrita GodboldClinical Director · (856) 258-7464

Enumeration DateFebruary 23, 2022

Last NPPES UpdateMarch 19, 2024

NPPES CertifiedMarch 19, 2024

✔ NPI 1306592894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

104 CENTRE BLVD STE A, Marlton, NJ 08053

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Innovative Behavioral Concepts 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 Innovative Behavioral Concepts LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Elrita Godbold, LCSW

Clinical Social Worker

NPI 1699900639

525 ROUTE 73 S
Marlton, NJ 08053

(267) 225-1972

✔ PECOS✔ Accepts Medicare1.0 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 Innovative Behavioral Concepts LLC's NPI number?

The NPI number for Innovative Behavioral Concepts LLC is 1306592894. It was assigned to this organization in the NPPES registry on February 23, 2022.

Where is Innovative Behavioral Concepts LLC located?

Innovative Behavioral Concepts LLC is located at 104 Centre Blvd Ste A, Marlton, NJ 08053. The listed phone number is (856) 258-7464.

What is Innovative Behavioral Concepts LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Innovative Behavioral Concepts LLC enrolled in Medicare?

Yes. Innovative Behavioral Concepts LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovative Behavioral Concepts LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Innovative Behavioral Concepts 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 Innovative Behavioral Concepts LLC was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.