Active NPI
Therapeutic Interventions
- Professional Counselor
- Minot, ND
National Provider Identifier
1265166409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- THERAPEUTIC INTERVENTIONS
- Practice address
- 24 Main St N Ste a
Minot, ND 58703-3104 - Phone
- (307) 371-4688
- NPI assigned
- Jul 13, 2022
- 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
- Brandy Lynn Childress, LPCC
- Title
- Owner
- Phone
- (307) 371-4688
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
24 Main St N Ste a
Minot, ND 58703-3104
Mailing address
405 3Rd Ave NE
(PO Box 1384, Minot ND 58702-1384)
Kenmare, ND 58746-7425
Phone (701) 818-4967
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739232000000",
"number": "1265166409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 3RD AVE NE",
"address_2": "(PO BOX 1384, MINOT ND 58702-1384)",
"city": "KENMARE",
"state": "ND",
"postal_code": "587467425",
"telephone_number": "701-818-4967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 MAIN ST N STE A",
"city": "MINOT",
"state": "ND",
"postal_code": "587033104",
"telephone_number": "307-371-4688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPEUTIC INTERVENTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-13",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A",
"authorized_official_last_name": "CHILDRESS",
"authorized_official_first_name": "BRANDY",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "307-371-4688",
"authorized_official_credential": "LPCC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.