George Richard Ingalls, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4446C Issued in AR

Practice address

628 W Broadway St
Suite 300
North Little Rock, AR 72114-5544

Phone

(501) 372-4242

Fax

(501) 372-6565

NPI assigned

May 13, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Family Service Agency,Inc.

  • Community/Behavioral Health Agency
  • North Little Rock, AR
  • NPI 1417089558
  NPD (past)

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1902242381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 W BROADWAY ST",
            "address_2": "SUITE 300",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721145544",
            "telephone_number": "501-372-4242",
            "fax_number": "501-372-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 W BROADWAY ST",
            "address_2": "SUITE 300",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721145544",
            "telephone_number": "501-372-4242",
            "fax_number": "501-372-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGALLS",
        "first_name": "GEORGE",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "4446C",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "4446C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Incura of Little Rock PA
• Infant Formulas Inc.
• Infinite Genomics
• Infinite Genomics LLC
• Infinite Genomics LLC
• Leah Ingraham, LCSW
• Robert Quinn Ingraham II, M.D.
• Deshondra Ingram Irby, FNP-C
• Kayla Beth Ingram-Smith, APRN
• Brianna Chantelle Ingram

• Mental Health Counselor in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.