Individual provider Active NPI

Stephan Hardin-Ingram, MA, LPCC, NCC, CCMHC

  • Mental Health Counselor
  • San Diego, CA
National Provider Identifier
1215678479
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCC23200 Issued in CA
Practice address
5998 Alcala Park RM 215
San Diego, CA 92110-8001
Phone
(760) 450-8731
NPI assigned
Apr 3, 2022
Last updated
Oct 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPCC23200 CA Primary
Pharmacy Technician 183700000X TCH188802 CA

Addresses

Primary practice location

5998 Alcala Park RM 215
San Diego, CA 92110-8001

Mailing address

5998 Alcala Park RM 215
San Diego, CA 92110-8001
Phone (760) 450-8731

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

LicenseStateTypeSpecialty
LPCC23200CAMDMental Health Counselor
TCH188802CAMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1648944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792368000000",
    "number": "1215678479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5998 ALCALA PARK RM 215",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921108001",
            "telephone_number": "760-450-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5998 ALCALA PARK RM 215",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921108001",
            "telephone_number": "760-450-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN-INGRAM",
        "first_name": "STEPHAN",
        "credential": "MA, LPCC, NCC, CCMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-03",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC23200",
            "primary": true
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "TCH188802",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; 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.