Organization Active NPI

Ingram Counseling & Consulting, PLLC

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1477211175
Registry record updated Dec 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INGRAM COUNSELING & CONSULTING, PLLC
Practice address
6034 River Lake Cir
Raleigh, NC 27604-6000
Phone
(919) 877-6442
Fax
(919) 887-0479
NPI assigned
Nov 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2021

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

Authorized official

Name
Tacarra Ingram, MSW, LCSW
Title
Owner
Phone
(919) 877-6442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

6034 River Lake Cir
Raleigh, NC 27604-6000

Mailing address

PO Box 958
Knightdale, NC 27545-0958
Phone (919) 877-6442

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639267200000",
    "number": "1477211175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 958",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275450958",
            "telephone_number": "919-877-6442",
            "fax_number": "919-887-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6034 RIVER LAKE CIR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276046000",
            "telephone_number": "919-877-6442",
            "fax_number": "919-887-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGRAM COUNSELING & CONSULTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-12-12",
        "certification_date": "2021-12-12",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "TACARRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-877-6442",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Dec 12, 2021; 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.