Organization Active NPI

Target Therapy Services, Inc

  • Clinical Social Worker
  • Cape Coral, FL
National Provider Identifier
1225435084
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9768 Issued in FL
Legal business name
TARGET THERAPY SERVICES, INC
Practice address
1903 SE 2ND St
Cape Coral, FL 33990-1380
Phone
(239) 218-3286
NPI assigned
Nov 21, 2014
Last updated
Nov 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jesse Hugh Babcock III, LCSWNPI 1396960100
Title
Therapist
Phone
(239) 218-3286

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW9768 FL Primary

Addresses

Primary practice location

1903 SE 2ND St
Cape Coral, FL 33990-1380

Mailing address

1903 SE 2ND St
Cape Coral, FL 33990-1380
Phone (239) 218-3286

Other identifiers 1

IdentifierTypeStateIssuer
431745099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150128001028 FL Part B Supplier - Clinic/Group Practice 5294059911 Receives reassigned benefits from 3 practitioners
Practice locations: Port Charlotte, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1225435084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 SE 2ND ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901380",
            "telephone_number": "239-218-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 SE 2ND ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901380",
            "telephone_number": "239-218-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET THERAPY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "BABCOCK",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "HUGH",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "239-218-3286",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431745099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.