Individual provider Active NPI

Adrianne Nicole Ingram, LPC

  • Professional Counselor
  • Wylie, TX
National Provider Identifier
1598075079
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
63424 Issued in TX
Practice address
303 S Highway 78 Ste 100
Wylie, TX 75098-3957
Phone
(469) 342-3468
Fax
(469) 342-3466
NPI assigned
Oct 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 63424 TX Primary

Addresses

Primary practice location

303 S Highway 78 Ste 100
Wylie, TX 75098-3957

Mailing address

3615 Sachse Rd
Sachse, TX 75048-3831
Phone (940) 206-4925

Other identifiers 2

IdentifierTypeStateIssuer
216007901MedicaidTX
89903LOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250102003696 TX Practitioner - Mental Health Counselor 2860929940 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63424TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Dec 3, 2024 Accepting new patients
CCNT Inc. CurrentSince Jan 14, 2026 Accepting new patients

Locations

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

720 E Park Blvd
Ste 204
Plano, TX 75074
Phone (469) 342-3468

303 S Highway 78
Ste 103
Wylie, TX 75098
Phone (469) 342-3468

303 S Highway 78
Ste 100
Wylie, TX 75098
Phone (469) 342-3468

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1598075079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 SACHSE RD",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750483831",
            "telephone_number": "940-206-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S HIGHWAY 78 STE 100",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750983957",
            "telephone_number": "469-342-3468",
            "fax_number": "469-342-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "ADRIANNE",
        "middle_name": "NICOLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216007901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "89903L",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

Verify at the official NPI Registry.