Active NPI
Zillah Lise Ingram, M.ED., NCC, LGPC
- Marriage & Family Therapist
- Columbia, MD
National Provider Identifier
1205375136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LGP7514
- Practice address
- 5457 Twin Knolls Rd
Suite 301
Columbia, MD 21045-3259 - Phone
- (410) 864-6386
- Fax
- (410) 992-6671
- NPI assigned
- Feb 12, 2017
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LGP7514 | MD | Primary |
Addresses
Primary practice location
5457 Twin Knolls Rd
Suite 301
Columbia, MD 21045-3259
Mailing address
5457 Twin Knolls Rd
Suite 301
Columbia, MD 21045-3259
Phone (410) 864-6386
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP7514 | MD | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486857600000",
"number": "1205375136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5457 TWIN KNOLLS RD",
"address_2": "SUITE 301",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210453259",
"telephone_number": "410-864-6386",
"fax_number": "410-992-6671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5457 TWIN KNOLLS RD",
"address_2": "SUITE 301",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210453259",
"telephone_number": "410-864-6386",
"fax_number": "410-992-6671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "ZILLAH",
"middle_name": "LISE",
"name_prefix": "Mrs.",
"credential": "M.ED., NCC, LGPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-12",
"last_updated": "2017-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MD",
"license": "LGP7514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.