Active NPI
Therapeutic Interventions, Inc.
- Professional Counselor
- Cookeville, TN
National Provider Identifier
1114139243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC790
- Legal business name
- THERAPEUTIC INTERVENTIONS, INC.
- Practice address
- 831 W Jackson St
Cookeville, TN 38501-5940 - Phone
- (931) 520-4418
- Fax
- (931) 526-8432
- NPI assigned
- May 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Cecilia L Campbell
- Title
- Administrative Assistant
- Phone
- (931) 520-4418
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC790 | TN | Primary |
| Cognitive & Behavioral Psychologist | 103TB0200X | P377 | TN | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | P377 | TN | |
| Family Psychologist | 103TF0000X | P377 | TN | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | P377 | TN | |
| Group Psychotherapy Psychologist | 103TP2701X | P377 | TN | |
| School Psychologist | 103TS0200X | P377 | TN |
Addresses
Primary practice location
831 W Jackson St
Cookeville, TN 38501-5940
Mailing address
831 W Jackson St
Cookeville, TN 38501-5940
Phone (931) 520-4418
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5441689 | Medicaid | TN |
National Provider Directory
National Provider Directory- Tax ID family
- Therapeutic Interventions Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Child & Adolescent Psychologist
- Nashville, TN
- NPI 1255516514
Locations
831 W Jackson St
Cookeville, TN 38501
Phone (931) 520-4418
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Health Service Psychologist
- Cookeville, TN
- NPI 1356474639
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297987200000",
"number": "1114139243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 W JACKSON ST",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385015940",
"telephone_number": "931-520-4418",
"fax_number": "931-526-8432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 W JACKSON ST",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385015940",
"telephone_number": "931-520-4418",
"fax_number": "931-526-8432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPEUTIC INTERVENTIONS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2011-02-18",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "CECILIA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
"authorized_official_telephone_number": "931-520-4418",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "TN",
"license": "LPC790",
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "TN",
"license": "P377",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "TN",
"license": "P377",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Family",
"state": "TN",
"license": "P377",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "TN",
"license": "P377",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": "TN",
"license": "P377",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": "TN",
"license": "P377",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5441689",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cookeville, TN
- Tennessee Sports Medicine, PC
- Tennessee Tech University Center for Addiction Prevention and Support
- Tennessee Therapy & Balance Center, LLC
- Ilona Terral, LPC-MHSP
- The Cookeville Surgery Center
- Therapy Solutions, PC
- Lydia Ann Thoman, BA
- Lori Ann Thomas-Steward, D.O.
- Beverly Boykin Thomas, M.D.
- Dolores Maria Thomas, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.