Active NPI
Angela M Ingram, M.A., LCPC
- Counselor
- Swansea, IL
National Provider Identifier
1821453622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 180.010041
- Practice address
- 1752 Ambrose Terrace Dr
Swansea, IL 62226-7376 - Phone
- (618) 920-5128
- NPI assigned
- Dec 21, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.010041 | IL | |
| Counselor | 101Y00000X | 180.010041 | IL | Primary |
Addresses
Primary practice location
1752 Ambrose Terrace Dr
Swansea, IL 62226-7376
Mailing address
1752 Ambrose Terrace Dr
Swansea, IL 62226-7376
Phone (618) 920-5128
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.010041 | IL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573689600000",
"number": "1821453622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1752 AMBROSE TERRACE DR",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622267376",
"telephone_number": "618-920-5128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1752 AMBROSE TERRACE DR",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622267376",
"telephone_number": "618-920-5128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAM",
"first_name": "ANGELA",
"middle_name": "M",
"credential": "M.A., LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-21",
"last_updated": "2019-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.010041",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "180.010041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Swansea, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.