Active NPI
Desiree Cassandra Ingram, M.S.
- Marriage & Family Therapist
- Stillwater, OK
National Provider Identifier
1508072075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 738
- Practice address
- 116 W 7TH Ave
Suite 224
Stillwater, OK 74074-4064 - Phone
- (405) 743-0344
- NPI assigned
- May 14, 2007
- 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 | 738 | OK | Primary |
Addresses
Primary practice location
116 W 7TH Ave
Suite 224
Stillwater, OK 74074-4064
Mailing address
116 W 7TH Ave
Suite 224
Stillwater, OK 74074-4064
Phone (405) 743-0344
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 738 | OK | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508072075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 W 7TH AVE",
"address_2": "SUITE 224",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740744064",
"telephone_number": "405-743-0344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 W 7TH AVE",
"address_2": "SUITE 224",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740744064",
"telephone_number": "405-743-0344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "DESIREE",
"middle_name": "CASSANDRA",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OK",
"license": "738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stillwater, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.