Michelle Ingram-Smith

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

10827 Issued in SC

Legal business name

MICHELLE INGRAM-SMITH

Practice address

6221 Monticello Rd
Columbia, SC 29203-2910

Phone

(803) 814-1091

NPI assigned

Nov 5, 2015

Organization subpart

No

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

Authorized official

Name

Michelle Ingram-SMTH

Title

Licensed Independent Practitioner

Phone

(803) 476-2533

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1376916759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 MONTICELLO RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292032910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 MONTICELLO RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292032910",
            "telephone_number": "803-814-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE INGRAM-SMITH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "INGRAM-SMTH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "LICENSED INDEPENDENT PRACTITIONER",
        "authorized_official_telephone_number": "803-476-2533"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "10827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaelas Angelic Caregivers LLC
• Shannon Louise Michaels Areford, PA-C
• Michal Rubin PH.D. LPC
• Leah Christine Michalik, PHARMD.
• Lanorris Michel, MA
• Michels Psychological Services
• Philip J Michels, PH.D.
• Jewel Mickens
• Latoya Denise Mickle, APRN
• Tykeyana Mickles, LPC

• Community/Behavioral Health Agency in Columbia, SC
• Providers in Columbia, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.