INTEGRATED INTERVENTION SPECIALISTS, LLC
NPI 1275194136
Community/Behavioral Health in Fargo, ND
About Integrated Intervention Specialists, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTEGRATED INTERVENTION SPECIALISTS, LLC (NPI 1275194136) is a healthcare organization registered as a community/behavioral health in Fargo, North Dakota and active in the NPI registry since June 2019. The organization lists Jaclyn Martinson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Integrated Intervention Specialists, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Integrated Intervention Specialists, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Integrated Intervention Specialists, LLC's NPI number?
The NPI number for Integrated Intervention Specialists, LLC is 1275194136. It was assigned to this organization in the NPPES registry on June 21, 2019.
Where is Integrated Intervention Specialists, LLC located?
Integrated Intervention Specialists, LLC is located at 4215 31st Ave S Ste A, Fargo, ND 58104. The listed phone number is (701) 478-0221.
What is Integrated Intervention Specialists, LLC's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Integrated Intervention Specialists, LLC enrolled in Medicare?
Yes. Integrated Intervention Specialists, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Integrated Intervention Specialists, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Integrated Intervention Specialists, LLC, in Clinical Psychologist, Occupational Therapist in Private Practice and Qualified Speech Language Pathologist. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Integrated Intervention Specialists, LLC accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Integrated Intervention Specialists, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Integrated Intervention Specialists, LLC was last updated on February 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Integrated Intervention Specialists, Llc · NPI 1275194136
Community/Behavioral Health organization in Fargo, North Dakota. Organization record, active in the CMS NPPES registry since June 21, 2019.
## Identity
- **NPI:** 1275194136 (Entity type: Organization)
- **Enumerated:** June 21, 2019
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Jaclyn Martinson, OWNER
## Practice location
- **Address:** 4215 31ST AVE S STE A, Fargo, ND 58104-7743
- **Phone:** (701) 478-0221 · **Fax:** (701) 478-0222
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Occupational Therapist in Private Practice (2), Clinical Psychologist (1), Qualified Speech Language Pathologist (1); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 1, 2025
- **Other identifiers:** Medicaid 1538310792 (ND)
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Source: [NPI Profile](https://npiprofile.com/npi/1275194136) · Data from the CMS NPPES public registry.