NPIMap

Organization Active NPI

Penuel Behavioral Health Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cockeysville, MD
National Provider Identifier
1275231383
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PENUEL BEHAVIORAL HEALTH SERVICES LLC
Practice address
9708 Monroe St Ste 201
Cockeysville, MD 21030-5081
Phone
(240) 565-7718
NPI assigned
Feb 17, 2023
Last updated
Jun 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Olabimpe Olojo, CRNPNPI 1073862959
Title
Clinical
Phone
(301) 635-1240

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

9708 Monroe St Ste 201
Cockeysville, MD 21030-5081

Mailing address

9708 Monroe St Ste 201
Cockeysville, MD 21030-5081
Phone (240) 565-7718

Other practice location 1

3140 W Ward Rd Ste 201
Dunkirk, MD 20754-3047
Phone (301) 832-4847

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241206002938 MD Part B Supplier - Clinic/Group Practice 0446786941 Receives reassigned benefits from 1 practitioner
3 other NPIs on this enrollment
Practice locations: Cockeysville, MD

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Penuel Behavioral Health Services LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3140 W Ward Rd
Ste 201
Dunkirk, MD 20754
Phone (301) 635-1240

Practitioners & affiliated clinicians

Practitioners 1

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": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1275231383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9708 MONROE ST STE 201",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210305081",
            "telephone_number": "240-565-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9708 MONROE ST STE 201",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210305081",
            "telephone_number": "240-565-7718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3140 W Ward Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Dunkirk",
            "state": "MD",
            "postal_code": "207543047",
            "country_code": "US",
            "telephone_number": "301-832-4847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PENUEL BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-17",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "OLOJO",
        "authorized_official_first_name": "OLABIMPE",
        "authorized_official_title_or_position": "CLINICAL",
        "authorized_official_telephone_number": "301-635-1240",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cockeysville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.