Active NPI
Paul Ingram, MS, LPC
- Mental Health Counselor
- Anchorage, AK
National Provider Identifier
1669970935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 122177
- Practice address
- 540 W International Airport Rd
Anchorage, AK 99518-1105 - Phone
- (907) 565-5335
- NPI assigned
- Jan 31, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 122177 | AK | Primary |
Addresses
Primary practice location
540 W International Airport Rd
Anchorage, AK 99518-1105
Mailing address
2600 Denali St Ste 302
Anchorage, AK 99503-2746
Phone (907) 272-4407
Other practice location 1
2600 Denali St Ste 302
Anchorage, AK 99503-2746
Phone (907) 272-4407
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 |
|---|---|---|---|
| 122177 | AK | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychology Resources, PC | Mental Health | Past | Accepting new patients |
| Anchorage Integrative Psychiatry | Past | Accepting new patients |
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Anchorage, AK
- NPI 1326871955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1669970935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 DENALI ST STE 302",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995032746",
"telephone_number": "907-272-4407",
"fax_number": "907-272-4463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 W INTERNATIONAL AIRPORT RD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995181105",
"telephone_number": "907-565-5335"
}
],
"practiceLocations": [
{
"address_1": "2600 Denali St Ste 302",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995032746",
"country_code": "US",
"telephone_number": "907-272-4407",
"fax_number": "907-272-4463",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "INGRAM",
"first_name": "PAUL",
"credential": "MS, LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-31",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AK",
"license": "122177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.