LAKEESHA MONIQUE INGRAM (NPI# 1083187926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083187926 |
| Entity Type | Individual |
| Full Name | LAKEESHA MONIQUE INGRAM |
| Credential | MA., NCC, LPC-A |
| Practice Address |
800 Martin Luther King Jr Dr Lumberton NC 28358-6937 |
| Mailing Address |
60 Commerce Plaza Cir Pembroke NC 28372-7386 |
| Practice Telephone | 9103700815 |
| Practice Fax Number | 9106743083 |
| Mailing Telephone | 9105212900 |
| Mailing Fax Number | 9107759165 |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2020-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCAS-25409 | NC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
A13953 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1083187926 | 05 |
| Street Address |
800 MARTIN LUTHER KING JR DR |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28358-6937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780681015 | Lisa Gholston Cox | Internal Medicine | 800 Martin Luther King Jr Dr, Lumberton, NC 28358-6412 | 2005-07-01 |
| 1679114938 | David Ngugi | Nurse Practitioner | 800 Martin Luther King Jr Dr, Lumberton, NC 28358-6937 | 2019-10-07 |
| 1437619491 | Ashley Rose Wilhelm | Counselor | 800 Martin Luther King Jr Dr, Lumberton, NC 28358 | 2019-03-24 |
| 1457829996 | Robeson Health Care Corporation | Clinic/Center | 800 Martin Luther King Jr Dr, Lumberton, NC 28358-6937 | 2018-11-02 |
| 1811479439 | Beth Waiyego Gachuki | Physician Assistant | 800 Martin Luther King Jr Dr, Lumberton, NC 28358-6937 | 2018-08-30 |
| 1356667646 | Patel Scott & Yee Pllc | Dentist | 800 Martin Luther King Jr Dr, Lumberton, NC 28358-6937 | 2010-04-13 |
| 1114154119 | Southeastern Regional Physician Services | Clinic/Center | 800 Martin Luther King Jr Dr, Lumberton, NC 28358-6412 | 2009-06-17 |
| 1134154693 | Susan Barr Jones | Dentist | 800 Martin Luther King Jr Dr, Lumberton, NC 28358-6412 | 2006-07-12 |
| 1225078470 | Chauncey Maurice Mcdonald | Dentist | 800 Martin Luther King Jr Dr, Lumberton, NC 28358-6412 | 2006-06-07 |
| 1346232915 | Southeastern Regional Medical Center | Clinic/Center | 800 Martin Luther King Jr Dr, Lumberton, NC 28358-6412 | 2005-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812397 | Monarch | Community/Behavioral Health | 13128 Serenity Street, Huntersville, NC 28358 | 2019-10-15 |
| 1114577194 | Lashonda Patrice Bostic | Social Worker | 4719 Fayetteville Road, Lumberton, NC 28358 | 2019-09-12 |
| 1780232389 | Rosaline Whittington | Technician | 39 Sibley Road, Lumberton, NC 28358 | 2019-08-28 |
| 1790343168 | Emily Graham | Social Worker | 401 S. 27th Street, Lumberton, NC 28358 | 2019-05-31 |
| 1316420722 | Karen Lynn Warwick | Nurse Practitioner | 600 Farringdom St # Ab, Lumberton, NC 28358 | 2018-09-11 |
| 1982184149 | Virginia Feldick Hampton | Speech-Language Pathologist | Coastal Therapy Partners, 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-08-17 |
| 1366941882 | Ashlynn Faircloth Mckeithan | Occupational Therapist | 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-02-10 |
| 1992153506 | Matthew Mercer | Nurse Anesthetist, Certified Registered | 2703 Riverwood Ave, Lumberton, NC 28358 | 2016-05-25 |
| 1295100964 | Chosen Health Care Services Inc | In Home Supportive Care | 705b Wesley Pines Road, Lumberton, NC 28358 | 2015-12-07 |
| 1346626173 | Brittany Renea Chavis | Social Worker | 888 Wire Grass Road, Lumberton, NC 28358 | 2015-08-04 |
| Find all providers in zip 28358 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629505573 | Vernon Archie Wiggins IIi | Counselor | 242 S Lhs Dr, Lumberton, TX 77657-8603 | 2017-05-22 |
| 1023449790 | Beverly Oxendine Young II | Counselor | 111 Elba St, Lumberton, NC 28358-3457 | 2013-12-06 |
| 1235481938 | Primary Health Choice, Inc. | Counselor | 107 Mount Moriah Church Rd Ste A, Lumberton, NC 28360-8446 | 2012-10-05 |
| 1700161635 | Chandra Jeanne Graham | Counselor | 4101 W Carthage Rd, Lumberton, NC 28360-9389 | 2011-10-11 |
| 1740584655 | Mark Michael Asteris Jr. | Counselor | 6 Old Trahan Pl, Lumberton, TX 77657-7013 | 2011-01-06 |
| 1235383878 | Karen D Nance | Counselor | 1384 Linkhaw Rd, Lumberton, NC 28358 | 2008-11-10 |
| 1447433099 | Primary Health Choice, Inc. | Counselor | 4822 Fayetteville Rd, Lumberton, NC 28358-2112 | 2007-12-06 |
| 1508069683 | Michael Antonio Powell | Counselor | 101 N Court Sq, Office 18, Lumberton, NC 28358-5579 | 2007-06-07 |
| 1598983991 | George Ross Iles IIi | Counselor | 260 Magnolia Trl, Lumberton, TX 77657-9277 | 2007-04-23 |
| 1780729608 | Lena Michelle Lowry | Counselor | 6367 Union Chapel Rd, Lumberton, NC 28360-3501 | 2007-02-20 |
| Find all providers in LUMBERTON | ||||
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| 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.