Individual provider Active NPI

Katie Ingram

  • Mental Health Counselor
  • Royal Palm Beach, FL
National Provider Identifier
1992360663
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH16990 Issued in FL
Practice address
1402 Royal Palm Beach Blvd Ste 400B
Royal Palm Beach, FL 33411-1692
Phone
(561) 792-9242
Fax
(561) 792-9243
NPI assigned
May 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH16990 FL Primary

Addresses

Primary practice location

1402 Royal Palm Beach Blvd Ste 400B
Royal Palm Beach, FL 33411-1692

Mailing address

1402 Royal Palm Beach Blvd Ste 400B
Royal Palm Beach, FL 33411-1692
Phone (561) 792-9242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • 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
I20231219001840 FL Practitioner - Mental Health Counselor 9931559887 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ingram and Associates Counseling and Consulting, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

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

Organizations & group practices 1

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": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1992360663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 ROYAL PALM BEACH BLVD STE 400B",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111692",
            "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 STE 400B",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111692",
            "telephone_number": "561-792-9242",
            "fax_number": "561-792-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "KATIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.