Therapeutic Interventions and Consulting Services, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH8280 Issued in FL

Legal business name

THERAPEUTIC INTERVENTIONS AND CONSULTING SERVICES, INC.

Practice address

2700 Leon Ave
Sarasota, FL 34234-4714

Phone

(941) 623-6355

NPI assigned

Sep 20, 2010

Last updated

Sep 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janell StallworthNPI 1063803492

Title

President

Phone

(941) 623-6355

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Successful Development, Inc. Former legal business name

Locations

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.

• Janell Stallworth, LMHC

  • Mental Health Counselor
  • Sarasota, FL
  • NPI 1063803492
  NPD (past) Authorized official

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1730497173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49214",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342306214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 LEON AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342344714",
            "telephone_number": "941-623-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC INTERVENTIONS AND CONSULTING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "STALLWORTH",
        "authorized_official_first_name": "JANELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-623-6355"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH8280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690209098",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690209096",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Successful Development, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Theo L Meyer III Pediatrics Chartered (Meyer Pediatrics)
• Theodore Simon DC PA (Simon Clinic of Chiropractic)
• Dean Theophilopoulos, M.D.
• Therafit LLC
• Therapeutic Collaborative, LLC
• Therapeutic Systems
• Therapy Associates of Sarasota
• Therapy Diagnostics & Treatment
• Norma Thermidor
• Anthony Thibeault, DO

• Mental Health Counselor in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.