NPIMap

Organization Active NPI

Ingram and Associates Counseling and Consulting, Inc.

  • Mental Health Counselor
  • Royal Palm Beach, FL
National Provider Identifier
1831272111
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH3539 Issued in FL
Legal business name
INGRAM AND ASSOCIATES COUNSELING AND CONSULTING, INC.
Practice address
1402 Royal Palm Beach Blvd
Suite 400B
Royal Palm Beach, FL 33411-1691
Phone
(561) 792-9242
Fax
(561) 792-9243
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Dr. Connie L Ingram, PHD, LMHCNPI 1134456494
Title
President
Phone
(561) 792-9242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH3539 FL Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X

Addresses

Primary practice location

1402 Royal Palm Beach Blvd
Suite 400B
Royal Palm Beach, FL 33411-1691

Mailing address

1402 Royal Palm Beach Blvd
Suite 400B
Royal Palm Beach, FL 33411-1691
Phone (561) 792-9242

Other identifiers 1

IdentifierTypeStateIssuer
1060625MedicaidFL

Other names 1

  • Ingram & Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231212001168 FL Part B Supplier - Clinic/Group Practice 9830548189 Receives reassigned benefits from 5 practitioners
Practice locations: Royal Palm Beach, FL

National Provider Directory

National Provider Directory

Locations

1402 Royal Palm Beach Blvd
Ste 400B
Royal Palm Beach, FL 33411
Phone (561) 792-9242

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1831272111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 ROYAL PALM BEACH BLVD",
            "address_2": "SUITE 400B",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111691",
            "telephone_number": "561-792-9242",
            "fax_number": "561-792-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 ROYAL PALM BEACH BLVD",
            "address_2": "SUITE 400B",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111691",
            "telephone_number": "561-792-9242",
            "fax_number": "561-792-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGRAM AND ASSOCIATES COUNSELING AND CONSULTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-792-9242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH3539",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1060625",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ingram & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.