Individual provider Active NPI

Heather Ingram, LCMHCA

  • Counselor
  • Cary, NC
National Provider Identifier
1720650765
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
A16581 Issued in NC
Practice address
1000 Darrington Dr Ste 204
Cary, NC 27513-8134
Phone
(919) 338-5620
Fax
(919) 336-4519
NPI assigned
Jul 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X A16581 NC Primary

Addresses

Primary practice location

1000 Darrington Dr Ste 204
Cary, NC 27513-8134

Mailing address

12509 Holly Springs New Hill Rd
Apex, NC 27539-6524
Phone (919) 604-6526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240610001003 NC Practitioner - Mental Health Counselor 2567904212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of North Carolina at Chapel Hill School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Triangle Wellness and Recovery PLLCGroup PAC ID 8527496009, 4 clinicians

Practice addresses (Care Compare)

1000 Darrington Dr
Suite 204
Cary, NC 27513-8134
Phone (919) 338-5620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A16581NCMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Wellness & Recovery PLLC CurrentSince Apr 1, 2024 Accepting new patients
Triangle Wellness and Recovery Services PLLC CurrentSince Feb 19, 2023 Accepting new patients

Locations

1000 Darrington Dr
Ste 204
Cary, NC 27513
Phone (919) 338-5620

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": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1720650765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12509 HOLLY SPRINGS NEW HILL RD",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275396524",
            "telephone_number": "919-604-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 DARRINGTON DR STE 204",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138134",
            "telephone_number": "919-338-5620",
            "fax_number": "919-336-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "HEATHER",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A16581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.