EXODUS BEHAVIORAL HEALTH LLC
Counselor

Address: 700 Washington Blvd, Baltimore, MD 21230-2350

EXODUS BEHAVIORAL HEALTH LLC (NPI# 1174152946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174152946
Entity Type Organization
Organization Name EXODUS BEHAVIORAL HEALTH LLC
Practice Address 700 Washington Blvd
Baltimore
MD 21230-2350
Practice Telephone 4103434343
Mailing Address 700 Washington Blvd
Baltimore
MD 21230-2350
Mailing Telephone 4103434343
Certification Date 2020-09-09
Enumeration Date 2020-04-03
Last Update Date 2020-09-09
Authorized Official Telephone 4103434343
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 101Y00000X Counselor 193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
193200000X MULTI-SPECIALTY GROUP Behavioral Health & Social Service Providers
N 251S00000X Community/Behavioral Health Agencies
N 323P00000X Psychiatric Residential Treatment Facility Residential Treatment Facilities
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
193200000X MULTI-SPECIALTY GROUP Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
193200000X MULTI-SPECIALTY GROUP Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifiers

Identifier State Issuer Type Code
799251300 MD MEDICAID

Providers with the same name

NPI Name Taxonomy Address Enumeration
1922605443 Exodus Behavioral Health LLC Clinical Nurse Specialist - Psych/Mental Health, Adult 700 Washington Blvd, Baltimore, MD 21230-2350 2020-10-07
1013535442 Exodus Behavioral Health LLC Clinic/Center - Mental Health (Including Community Mental Health Center) 700 Washington Blvd, Baltimore, MD 21230-2350 2020-07-13

Office Location

Street Address 700 WASHINGTON BLVD
City BALTIMORE
State MD
Zip Code 21230-2350

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982054680 Michele Mcclain-Davis Counselor - Addiction (Substance Use Disorder) 700 Washington Blvd, Baltimore, MD 21230-2350 2016-06-14
1972100402 Exodus Behavioral Health, LLC Psychiatry & Neurology - Addiction Psychiatry 700 Washington Blvd, Baltimore, MD 21230-2350 2020-10-07
1205458676 Fatoumata Niagado Nurse Practitioner - Psych/Mental Health 700 Washington Blvd, Baltimore, MD 21230-2350 2020-05-08
1780174359 Jr Healthcare Associates, LLC · Behavioral Health Clinic (bhc) Clinic/Center - Mental Health (Including Community Mental Health Center) 700 Washington Blvd, Baltimore, MD 21230-2350 2018-05-18
1770073348 Jr Healthcare Associates, LLC · Behavioral Health Clinic (bhc) Community/Behavioral Health 700 Washington Blvd, Baltimore, MD 21230-2350 2018-05-18
1528558210 Jr Healthcare Associates, LLC · Behavioral Health Clinic (bhc) Clinic/Center - Adult Mental Health 700 Washington Blvd, Baltimore, MD 21230-2350 2018-05-17
1013535442 Exodus Behavioral Health LLC Clinic/Center - Mental Health (Including Community Mental Health Center) 700 Washington Blvd, Baltimore, MD 21230-2350 2020-07-13
1124633656 Exodus Behavioral Health, LLC Clinic/Center - Adult Mental Health 700 Washington Blvd, Baltimore, MD 21230-2350 2020-09-11
1134714058 Tambra Nanette Moye Counselor - Addiction (Substance Use Disorder) 700 Washington Blvd, Baltimore, MD 21230-2350 2021-03-03
1013032556 Johanna F. Paulino-Woolridge Psychiatry & Neurology - Psychiatry 700 Washington Blvd, Baltimore, MD 21230 2007-03-21
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Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1134484355 Diana L. Chou Nurse Practitioner - Family 1420 Key Hwy, Baltimore, MD 21230 2012-07-13
1487937512 Harris Teeter, LLC · Harris Teeter Pharmacy Pharmacy - Community/Retail Pharmacy 1801 Whetstone Way, Baltimore, MD 21230 2011-09-26
1821570011 Lisa Le Social Worker - Clinical 1623 Covington St, Baltimore, MD 21230 2018-09-04
1235739558 Margaret Webb Registered Nurse - Administrator Medstar Health, 1420 Key Highway, Baltimore, MD 21230 2020-10-27
1497381263 Hawkes Counseling Services Counselor - Addiction (Substance Use Disorder) 837 Washington Blvd, Suite B, Baltimore, MD 21230 2020-03-12
1487980280 Ife A Thompson Physician Assistant 601 S. Charles Street, Baltimore, MD 21230 2009-10-29
1124202379 Estelle W Carter Physician Assistant 601 S Charles Street, University Specialty Hospital, Baltimore, MD 21230 2007-12-24
1326167164 Denise Marie Markoff Dentist - General Practice 835 Light Street, Baltimore, MD 21230 2007-03-29
1447791058 Elizabeth Richmond Nurse Practitioner - Primary Care 2 East Wells Apt 179, Baltimore, MD 21230 2017-03-15
1588838585 Dianne Roseberry Jacobs · Dianne R Jacobs Physician Assistant - Medical 1699 Leadenhall Street, Spring Gardens Medical Dispensary, Baltimore, MD 21230 2008-04-22
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841876836 Shirley Parker Counselor 151 N Linwood Ave, Baltimore, MD 21224-1248 2021-03-22
1881279453 Andrea Buchanan Counselor 2639 Eastern Ave, Baltimore, MD 21224-3704 2021-03-15
1093307118 Carla Corsey Counselor 2220 Saint Paul St, Baltimore, MD 21218-5805 2021-02-10
1417544941 Amanda Schmidt Counselor 4639 Falls Rd, Baltimore, MD 21209-4914 2020-12-30
1023629375 Dlls & T Counselor 6609 Reisterstown Rd Ste 205, Baltimore, MD 21215-2634 2020-08-11
1285293340 Healing Minds, LLC Counselor 4300 Belair Rd Ste C, Baltimore, MD 21206-6300 2019-06-11
1750843058 Noelle L Benach Counselor 222 W Read St Fl 2, Baltimore, MD 21201-4809 2019-04-04
1013478841 Angela L Williams Counselor 5543 Lanham Way, Baltimore, MD 21206-3028 2019-03-26
1609333061 Elizabeth A Rich Counselor 1190 W Northern Pkwy Apt 503, Baltimore, MD 21210-1454 2019-02-21
1235694308 Martin Weishaar Counselor 3000 Chestnut Ave Ste 202a, Baltimore, MD 21211-2727 2019-02-04
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Competitor

Search similar providers

City BALTIMORE
Zip Code 21230

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NPI Name Taxonomy Address Enumeration
1396321733 Exodus Recovery, Inc. Community/Behavioral Health 7701 E Slauson Ave, Commerce, CA 90040-3828 2021-03-23
1124574074 Peulthai House/Behavioral Health Day Treatment Center · Behavioral Health Day Treatment Center Clinic/Center - Adult Day Care 14881 G Hwy 231/431, North Hazel Green, AL 35750 2016-08-31
1780055293 Howard County Health Department, Behavioral Health · Buprenorphine Clinic Pharmacist - Psychiatric 8930 Stanford Blvd, Columbua, MD 21045 2015-10-09
1366031627 Cambridge Mental Health Management, LLC · Alter Behavioral Health Psychiatric Residential Treatment Facility 4 Summit, Irvine, CA 92603-3625 2021-01-12
1114597218 Concert Health Behavioral Health Services PC Counselor - Mental Health 175 Capital Blvd., Suite 402, Rocky Hill, CT 06067 2021-06-30
1437739935 Dgb Behavioral Health LLC Psychologist - Clinical 1287 Village Drive, Spring Grove, PA 17362-8580 2021-04-09
1124614557 Rha Behavioral Health Nc LLC Community/Behavioral Health 1300 Gum Branch Rd Ste A, Jacksonville, NC 28540-5019 2020-12-20
1194312967 New Way Behavioral Health LLC Social Worker 8804 W Hayward Ave, Glendale, AZ 85305-3969 2020-12-28
1659940823 J.e.m. Behavioral Health Nurse Practitioner 7259 Waterwheel St Sw, Concord, NC 28025-6723 2021-06-22
1598352106 Best Behavioral Health Clinic/Center - Mental Health (Including Community Mental Health Center) 2300 Montana Ave Ste 425, Cincinnati, OH 45211-3829 2020-12-29

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.