THERAPEUTIC INTERVENTION GROUP, LLC (NPI# 1275821597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275821597 |
| Entity Type | Organization |
| Organization Name | THERAPEUTIC INTERVENTION GROUP, LLC |
| Practice Address |
1100 S Mint St Suite 108 Charlotte NC 28203-4049 |
| Practice Telephone | 7049279695 |
| Mailing Telephone | 7049279695 |
| Mailing Fax Number | 7049279697 |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2011-09-21 |
| Authorized Official Name | CARLTON GUNNING (OWNER) |
| Authorized Official Telephone | 7049279695 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
1100 S MINT ST SUITE 108 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28203-4049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548371255 | Katherine Rodgers | Social Worker | 1100 S Mint St, Suite 108, Charlotte, NC 28203-4049 | 2006-08-31 |
| 1154861797 | Tanganeka Monique Shaw | Counselor | 1100 S Mint St, Suite 107, Charlotte, NC 28203-4049 | 2017-03-01 |
| 1023357746 | Jamerilla B Fyffe | Counselor | 1100 S Mint St, Suite 208, Charlotte, NC 28203-4049 | 2013-02-01 |
| 1477849974 | Reading, Arithmetic and Writing | Counselor | 1100 S Mint St, Suite 102, Charlotte, NC 28203-4049 | 2011-06-22 |
| 1780911388 | Shirley J Smith | Counselor | 1100 S Mint St, Ste 101, Charlotte, NC 28203-4049 | 2009-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225983 | William Bedard Michel | Emergency Medicine | Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-04-30 |
| 1922636927 | Paulina M Kriska | Dentist | Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-03-27 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1205499316 | James C Winnek | Counselor | 1713 East Blvd., Charlotte, NC 28203 | 2019-04-16 |
| 1487114492 | Laurie Fford Counseling and Consulting Pllc | Counselor | 125 Remount Rd, Suite C-#391, Charlotte, NC 28203 | 2019-03-25 |
| 1184188815 | Sunday Money | Home Health | 2151 Hawkins St., Suite 201, Charlotte, NC 28203 | 2019-01-28 |
| 1164902706 | Lindsay Koonce Helton | Dietitian, Registered | 1218 East Blvd Ste G, Charlotte, NC 28203 | 2018-08-14 |
| 1376057406 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 | 2017-11-28 |
| 1043733306 | Kimberly Stripp | Pharmacist | 1300-b East Blvd, Charlotte, NC 28203 | 2017-07-19 |
| 1427570639 | Caroline Kaleel Fogleman | Optometrist | 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 | 2017-07-10 |
| Find all providers in zip 28203 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749324 | Wanda V Jones | Counselor | 11634 Windy Creek Dr Apt H, Charlotte, NC 28262-1923 | 2020-10-28 |
| 1841897667 | Latia Edwards Counseling Services | Counselor | 1224 Kirt Ct, Charlotte, NC 28213-5966 | 2020-10-05 |
| 1932712858 | Antoinette Thornton | Counselor | 2261 Milton Rd, Charlotte, NC 28215-3320 | 2020-08-29 |
| 1457974867 | Boniery Bell | Counselor | 13830 Firenza Cir Apt 202, Charlotte, NC 28273-4426 | 2020-05-20 |
| 1629616982 | Nakina Narkay Scott | Counselor | 5517 River Falls Dr, Charlotte, NC 28215-9674 | 2019-12-18 |
| 1629612981 | Counterstep Counseling and Consulting, Pllc | Counselor | 13534 Plaza Road Ext Ste 114, Charlotte, NC 28215-8921 | 2019-10-30 |
| 1821631193 | Ingrid C Gilbert | Counselor | 6903 Providence Ln W, Charlotte, NC 28226-7751 | 2019-10-19 |
| 1669013041 | Pivotal Health Solutions | Counselor | 15105d John J Delaney Dr Unit 186, Charlotte, NC 28277-2741 | 2019-10-07 |
| 1700447372 | Zachary Ryan Campbell | Counselor | 535 W 7th St Apt 2201, Charlotte, NC 28202-1636 | 2019-06-25 |
| 1366005902 | Mitchell Dwight Smtihbey | Counselor | 8122 Bald Ridge Dr, Charlotte, NC 28227-0316 | 2019-04-18 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.