Shelly Ingram Lcmft LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

SHELLY INGRAM LCMFT LLC

Practice address

6525 E Mainsgate Rd
Wichita, KS 67226-1062

Phone

(316) 461-7923

NPI assigned

Feb 23, 2020

Organization subpart

No

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

Authorized official

Name

Shelly IngramNPI 1508085242

Title

Lcmft

Phone

(316) 461-7923

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shelly Ann Ingram, MS, LCMFT

  • Marriage & Family Therapist
  • Newton, KS
  • NPI 1508085242
  NPD Authorized official

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

{
    "created_epoch": "1582416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583539200000",
    "number": "1407480064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 E MAINSGATE RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261062",
            "telephone_number": "866-924-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 E MAINSGATE RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261062",
            "telephone_number": "316-461-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLY INGRAM LCMFT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-23",
        "last_updated": "2020-03-07",
        "certification_date": "2020-03-07",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "LCMFT",
        "authorized_official_telephone_number": "316-461-7923"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCMFT",
            "identifier": "1508085242",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508085242",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCMFT",
            "identifier": "14074800064",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spencer Shearer
• Kathy Ann Sheedy, RPH
• Angela Shehan Wimer, LMSW
• Shelley Schekall-Calderera Pmhnp LLC
• John Shellito Jr., MD
• Gayle Lynn Shelton, LMSW
• Heather Ann Shelton, LCPC
• Patricia Shelton, CPTA
• Charles Tyler Shepherd, D.C.
• Jeffrey Shepherd, MD

• Marriage & Family Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Marriage & Family Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2020; 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.