Active NPI
Constance Ingrum, LPC
- Professional Counselor
- McKinney, TX
National Provider Identifier
1023780756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 78905
- Practice address
- 3128 Hudson Xing Ste 1
McKinney, TX 75070-6556 - Phone
- (469) 252-7090
- Fax
- (469) 617-7052
- NPI assigned
- Sep 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 78905 | TX | |
| Mental Health Counselor | 101YM0800X | 78905 | TX | |
| Professional Counselor | 101YP2500X | 78905 | TX | Primary |
Addresses
Primary practice location
3128 Hudson Xing Ste 1
McKinney, TX 75070-6556
Mailing address
3128 Hudson Xing Ste 1
McKinney, TX 75070-6556
Phone (469) 252-7090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78905 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1023780756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3128 HUDSON XING STE 1",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750706556",
"telephone_number": "469-252-7090",
"fax_number": "469-617-7052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3128 HUDSON XING STE 1",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750706556",
"telephone_number": "469-252-7090",
"fax_number": "469-617-7052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRUM",
"first_name": "CONSTANCE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-30",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "78905",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "78905",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "TX",
"license": "78905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McKinney, TX
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- Eitan M. Ingall, M.D.
- Jasmine Ja'Net Ingram
- Ingrim MHT LLC
- Inland Psychiatric Medical Group, Inc.
- Inner Light Holistic Healing PLLC
- Innovations Physical Therapy
- Innovative Body Scan Services, LLC
- Innovative Dental Specialists of McKinney PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.