INTEGRATED INTERVENTION SPECIALISTS, LLC
NPI 1275194136
Community/Behavioral Health in Fargo, ND

NPI Status: Active since June 21, 2019

Contact Information

4215 31ST AVE S STE A
FARGO, ND
ZIP 58104
Phone: (701) 478-0221
Fax: (701) 478-0222

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  • Organization
  • Community/Behavioral Health
  • Accepts Insurance

About INTEGRATED INTERVENTION SPECIALISTS, LLC

This page provides the complete NPI Profile along with additional information for Integrated Intervention Specialists, Llc, a provider established in Fargo, North Dakota operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1275194136 assigned on June 2019. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Jaclyn Martinson (Owner)

NPI
1275194136
Provider Name
INTEGRATED INTERVENTION SPECIALISTS, LLC
Entity Type
Organization
Location Address
4215 31ST AVE S STE A FARGO, ND 58104
Location Phone
(701) 478-0221
Location Fax
(701) 478-0222
Mailing Address
4215 31ST AVE S STE A FARGO, ND 58104
Mailing Phone
(701) 478-0221
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-21-2019
Last Update Date
02-01-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QH0700XAmbulatory Health Care Facilities

Clinic/Center
Hearing and Speech

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueCare Gold $10 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueCare Silver $20 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueDirect Bronze 100 HSA Eligible ($8000 Deductible / $5 Preventive Drug List) - PPO
  • BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
  • BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
  • BlueEssential Catastrophic 100 HSA Eligible $10600 Deductible - PPO
  • BlueValue Bronze HSA Eligible $50 PCP Copay (Standardized plan) - PPO
  • BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
  • BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
  • DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
  • DakotaBlue Altru Silver ($5 Value Based Drug List) - PPO
  • DakotaBlue Trinity Gold ($5 Value Based Drug List) - PPO
  • DakotaBlue Trinity Silver ($5 Value Based Drug List) - PPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO
  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $10,600 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,500 - PPO
  • Sanford Individual Simplicity $7,200 HSA Qualified - PPO
  • Sanford Individual Simplicity Standardized $2,000 - PPO
  • Sanford Individual Simplicity Standardized $6,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JACLYN MARTINSON

Authorized Official Title
OWNER
Authorized Official Phone
(701) 341-6025

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1538310792MEDICAID (05)ND 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1275194136, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
3
Doubled → 6
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 1 → 2 4 → 8 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 4 + 5 + 2 + 9 + 8 + 1 + 6 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1275194136.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Behavior Technician
4215 31ST AVE S STE A
FARGO, ND 58104
Behavior Technician
4215 31ST AVE S STE A
FARGO, ND 58104
Behavior Technician
4215 31ST AVE S STE A
FARGO, ND 58104
Behavior Technician
4215 31ST AVE S STE A
FARGO, ND 58104
Behavior Technician
4215 31ST AVE S STE A
FARGO, ND 58104
Behavior Technician
4215 31ST AVE S STE A
FARGO, ND 58104
Occupational Therapist
4215 31ST AVE S STE A
FARGO, ND 58104
Behavior Technician
4215 31ST AVE S STE A
FARGO, ND 58104
Behavior Technician
4215 31ST AVE S STE A
FARGO, ND 58104
Behavior Technician
4215 31ST AVE S STE A
FARGO, ND 58104
Behavior Technician
4215 31ST AVE S STE A
FARGO, ND 58104
Behavior Technician
4215 31ST AVE S STE A
FARGO, ND 58104
Behavior Technician
4215 31ST AVE S STE A
FARGO, ND 58104
Behavior Technician
4215 31ST AVE S STE A
FARGO, ND 58104
Behavior Technician
4215 31ST AVE S STE A
FARGO, ND 58104
Behavior Technician
4215 31ST AVE S STE A
FARGO, ND 58104
Behavior Technician
4215 31ST AVE S STE A
FARGO, ND 58104
Behavior Technician
4215 31ST AVE S STE A
FARGO, ND 58104
Behavior Technician
4215 31ST AVE S STE A
FARGO, ND 58104
Behavior Technician
4215 31ST AVE S STE A
FARGO, ND 58104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275194136, enumerated as an "organization" on June 21, 2019.

The provider is located at 4215 31ST AVE S STE A FARGO, ND 58104 and the phone number is (701) 478-0221.

Community/Behavioral Health with taxonomy code 251S00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota, Medica,. Please consult your insurance carrier or call the provider to verify.