Active NPI
Solice Surles-Ingram, LPC
- Professional Counselor
- Mansfield, TX
National Provider Identifier
1609772474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 98435
- Practice address
- 702 Hunters Row CT
Mansfield, TX 76063-4001 - Phone
- (817) 797-9868
- Fax
- (833) 693-3927
- NPI assigned
- Oct 17, 2026
- Last updated
- Oct 17, 2026
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 98435 | TX | Primary |
Addresses
Primary practice location
702 Hunters Row CT
Mansfield, TX 76063-4001
Mailing address
702 Hunters Row CT
Mansfield, TX 76063-4001
Phone (817) 797-9868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792195200000",
"number": "1609772474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 HUNTERS ROW CT",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760634001",
"telephone_number": "817-797-9868",
"fax_number": "833-693-3927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 HUNTERS ROW CT",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760634001",
"telephone_number": "817-797-9868",
"fax_number": "833-693-3927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURLES-INGRAM",
"first_name": "SOLICE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-10-17",
"last_updated": "2026-10-17",
"certification_date": "2026-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "98435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.