Jennifer Ingram, LCSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

34004730A Issued in IN

Practice address

1001 Hadley Rd
Mooresville, IN 46158-1794

Phone

(317) 834-5756

Fax

(317) 834-5782

NPI assigned

Mar 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1073572921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 CLYDESDALE LN",
            "city": "BARGERSVILLE",
            "state": "IN",
            "postal_code": "461068417",
            "telephone_number": "317-418-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HADLEY RD",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581794",
            "telephone_number": "317-834-5756",
            "fax_number": "317-834-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "34004730A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004730A",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IN",
            "license": "34004730A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000314291",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terri Joann Hughes, HIS
• Marita Illescas, DPT
• Gregg A Imel, MD
• Indiana Heart Physicians, Inc.
• Indiana University Eye Care, Inc.
• Neal Edward Ipema, M.D.
• Jackson Center for Conductive Education Inc
• Monica Elizabeth Jarrett, FNP-C
• Cherryl Ann Jedele I
• Jennifer Irene Wakeland Bigelow MD

• Counselor in Mooresville, IN
• Providers in Mooresville, IN by specialty
• Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.