JENNIFER INGRAM


Address: 1001 Hadley Rd, Mooresville, IN 46158-1794
Phone: 3178345756

JENNIFER INGRAM (NPI# 1073572921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073572921
Entity Type Individual
Full Name JENNIFER INGRAM
Credential LCSW
Practice Address 1001 Hadley Rd
Mooresville
IN 46158-1794
Mailing Address 593 Clydesdale Ln
Bargersville
IN 46106-8417
Practice Telephone 3178345756
Practice Fax Number 3178345782
Mailing Telephone 3174182855
Enumeration Date 2006-03-20
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 101Y00000X Counselor 34004730A IN Behavioral Health & Social Service Providers
X 101YM0800X Counselor
Specialization: Mental Health
34004730A IN Behavioral Health & Social Service Providers
X 1041C0700X Social Worker
Specialization: Clinical
34004730A IN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
ANTHEM 000000314291 01

Other Providers JENNIFER INGRAM

NPI Name Taxonomy Address Enumeration
1326390535 Jennifer Leigh Ingram Occupational Therapy Assistant 120 Lakes At Litchfield Dr, Pawleys Island, SC 29585-9001 2012-10-11
1013242957 Jennifer Lynn Ingram Physical Medicine & Rehabilitation 6802 Lee Hwy, Chattanooga, TN 37421-2444 2009-10-09
1215183983 Jennifer Ingram Audiologist 833 Saint Vincents Dr, Pob #3 - Suite 402, Birmingham, AL 35205-1606 2008-08-14
1861660284 Jennifer Ingram Speech-Language Pathologist 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 2008-02-19
1114125978 Jennifer Mavrick Ingram Counselor 1301 Seminole Blvd, Suite 103, Largo, FL 33770-8173 2007-07-03

Office Location

Street Address 1001 HADLEY RD
City MOORESVILLE
State IN
Zip Code 46158-1794

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124000237 Gary S Midla Family Medicine 1001 Hadley Rd, Suite 101, Mooresville, IN 46158-1794 2005-11-15
1568980134 Kaitlin E Alsman Audiologist 1001 Hadley Rd, Mooresville, IN 46158-1794 2017-09-05
1881128536 Tonya Whitaker Registered Nurse 1001 Hadley Rd, Ll050, Mooresville, IN 46158-1883 2017-04-19
1740646520 Katy Grismore Nurse Practitioner 1001 Hadley Rd, Suite Ll100, Mooresville, IN 46158-1883 2016-01-08
1144602640 Traci Lynn Martin Nurse Practitioner 1001 Hadley Rd, Suite Ll050, Mooresville, IN 46158-1883 2015-06-22
1740623156 Christina Marie Kelley Registered Nurse 1001 Hadley Rd, Suite 101, Mooresville, IN 46158-1883 2013-04-16
1740527431 Jacqueline M Stroud Nurse Practitioner 1001 Hadley Rd, Suite 102, Mooresville, IN 46158-1883 2013-01-15
1780928408 Indiana University Eye Care, Inc. Ophthalmology 1001 Hadley Rd, Suite 103, Mooresville, IN 46158-1883 2012-11-19
1457611584 Dara L Sander Nurse Practitioner 1001 Hadley Rd, Mooresville, IN 46158-1883 2012-05-23
1801187828 Amanda Marie Walter Pediatrics 1001 Hadley Rd, Ll 100, Mooresville, IN 46158-1883 2011-04-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396352613 Victoria Shay Parsons Pharmacist 523 Sr-67 N, Mooresville, IN 46158 2020-09-30
1083150049 Terri Joann Hughes Hearing Instrument Specialist Mobile / Home Care, Mooresville, IN 46158 2017-01-16
1578938650 Harrison County Hospital Skilled Nursing Facility 302 North Johnson Road, Mooresville, IN 46158 2015-12-01
1598100323 William Oh Colon & Rectal Surgery 1215 Hadley Rd Ste 201, Mooresville, IN 46158 2013-05-07
1134405855 Antonios Spiros Kantzavelos Pharmacist 115 Fields Road, Mooresville, IN 46158 2011-10-26
1588940308 Sarah E Grindle Pharmacist 115 Fields Rd., Mooresville, IN 46158 2011-10-25
1487884805 Abundant Life Chiropractic Chiropractor 902 N Old State Rd 67, Mooresville, IN 46158 2009-07-20
1770614760 W F Kirby Optometrist 11625 N Oldfield Ln, Mooresville, IN 46158 2007-03-08
1730269192 Travis L Bauer Dentist 420 S Indiana St, Mooresville, IN 46158 2006-10-17
1457396707 Sidney L Gilbert Pediatrics 100 Town Center Drive, Suite B, Mooresville, IN 46158 2006-06-19
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811548613 Christine Verolme Counselor 232 S San Agustin Dr, Mooresville, NC 28117-8581 2019-09-23
1235511320 Achieving Balance At The Farm Counselor 1915 Coddle Creek Hwy, Mooresville, NC 28115-8248 2015-06-24
1578944104 Luis Alejandro Palma IIi Counselor 155 Joe Knox Ave, Mooresville, NC 28117-9169 2015-06-09
1740689538 Northern Piedmont Counseling Pllc Counselor 125 Overhill Dr, Suite 105, Mooresville, NC 28117-8231 2014-08-18
1043626526 Chanel C. Bowen Counselor 106 Langtree Village Dr Ste 301, Mooresville, NC 28117-7594 2014-07-07
1295016095 Courtney Holley Hamilton Counselor 542 Williamson Rd Ste 4, Mooresville, NC 28117-9138 2011-09-07
1164735783 Luticia Stoker Signet Counselor 118 Wisteria Ln, Mooresville, NC 28117-6695 2010-07-24
1093042442 Step By Step Counseling Counselor 121 W Statesville Ave, Mooresville, NC 28115-2213 2009-11-05
1013973312 Rxn, LLC Counselor 132 Joe V. Knox Ave, Suite 104, Mooresville, NC 28117-9203 2006-04-25
1316921083 Jeanette Marie Diekman Counselor 484 Williamson Rd, Suite 105/e, Mooresville, NC 28117-9110 2005-12-05
Find all providers in MOORESVILLE

Competitor

Search similar providers

City MOORESVILLE
Zip Code 46158

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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