NPIMap

Organization Active NPI

House of the Guardian, LLC

  • Clinical Psychologist
  • Port Royal, SC
National Provider Identifier
1851272447
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
HOUSE OF THE GUARDIAN, LLC
Practice address
2208 Southside Blvd Apt 21
Port Royal, SC 29935-1021
Phone
(843) 575-3139
NPI assigned
Sep 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Dr. Alexandra Marie Ingram, PHDNPI 1679283113
Title
Licensed Clinical Psychologist
Phone
(843) 575-3139

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2208 Southside Blvd Apt 21
Port Royal, SC 29935-1021

Mailing address

2208 Southside Blvd Apt 21
Port Royal, SC 29935-1021
Phone (843) 575-3139

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1851272447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 SOUTHSIDE BLVD APT 21",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299351021",
            "telephone_number": "843-575-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 SOUTHSIDE BLVD APT 21",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299351021",
            "telephone_number": "843-575-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF THE GUARDIAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "843-575-3139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Royal, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.