Active NPI
Julie Kristen Ingram, LPC,LEAP
- Mental Health Counselor
- Raleigh, NC
National Provider Identifier
1154874055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1044
- Practice address
- 1301 Durlain Dr
204
Raleigh, NC 27614-6424 - Phone
- (919) 618-1617
- NPI assigned
- Jul 27, 2016
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1044 | NC | Primary |
Addresses
Primary practice location
1301 Durlain Dr
204
Raleigh, NC 27614-6424
Mailing address
1301 Durlain Dr
204
Raleigh, NC 27614-6424
Phone (919) 618-1617
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 |
|---|---|---|---|
| 1044 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469577600000",
"number": "1154874055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 DURLAIN DR",
"address_2": "204",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276146424",
"telephone_number": "919-618-1617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 DURLAIN DR",
"address_2": "204",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276146424",
"telephone_number": "919-618-1617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "JULIE",
"middle_name": "KRISTEN",
"name_prefix": "Ms.",
"credential": "LPC,LEAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-27",
"last_updated": "2016-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "1044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.