Active NPI
Sallie Elizabeth Ingle, MA LPC
- Professional Counselor
- Austin, TX
National Provider Identifier
1104023936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 18592
- Practice address
- 1416 Briarcliff Blvd
Austin, TX 78723-1809 - Phone
- (512) 576-1504
- Fax
- (512) 374-9731
- NPI assigned
- Jun 27, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 18592 | TX | Primary |
Addresses
Primary practice location
1416 Briarcliff Blvd
Austin, TX 78723-1809
Mailing address
1416 Briarcliff Blvd
Austin, TX 78723-1809
Phone (512) 576-1504
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18592 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1104023936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1416 BRIARCLIFF BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787231809",
"telephone_number": "512-576-1504",
"fax_number": "512-374-9731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1416 BRIARCLIFF BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787231809",
"telephone_number": "512-576-1504",
"fax_number": "512-374-9731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGLE",
"first_name": "SALLIE",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "MA LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-27",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "18592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.