MRS. CORRIE INGRAM LMFT
NPI 1003367608
Marriage & Family Therapist in Walnut Creek, CA

Active since October 18, 2016Opted out of Medicare · through May 1, 2028
1910 OLYMPIC BLVD, STE 210, WALNUT CREEK, CA 94596(925) 953-3048 Get Directions Write a Review

NPPES record last updated: October 18, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Corrie Ingram Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CORRIE INGRAM LMFT (NPI 1003367608) is an individual marriage & family therapist in Walnut Creek, California, licensed in California (LMFT80315) and active in the NPI registry since October 2016. She has opted out of Medicare through May 1, 2028.

NPPES Registry Identity

NPI1003367608
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. CORRIE INGRAMCredential: LMFT
Location Address1910 OLYMPIC BLVD, STE 210Walnut Creek, CA 94596-5096
Mailing Address1910 Olympic Blvd, Ste 210Walnut Creek, CA 94596-5096 · (925) 953-3048
Sole ProprietorNo
Enumeration DateOctober 18, 2016
NPI 1003367608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · LMFT80315
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1910 OLYMPIC BLVD, Walnut Creek, CA 94596

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mrs. Corrie Ingram Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 1, 2026 through May 1, 2028.

Opt-Out Effective DateMay 1, 2026
Opt-Out In Effect ThroughMay 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
1910 OLYMPIC BLVD
WALNUT CREEK, CA 94596
Behavior Technician
1910 OLYMPIC BLVD
WALNUT CREEK, CA 94596
Behavior Analyst
1910 OLYMPIC BLVD
WALNUT CREEK, CA 94596
Behavior Analyst
1910 OLYMPIC BLVD
WALNUT CREEK, CA 94596
Psychiatry & Neurology (Psychiatry)
1910 OLYMPIC BLVD, STE 230
WALNUT CREEK, CA 94596
Behavior Technician
1910 OLYMPIC BLVD
WALNUT CREEK, CA 94596
Behavior Technician
1910 OLYMPIC BLVD
WALNUT CREEK, CA 94596
Counselor (Mental Health)
1910 OLYMPIC BLVD, SUITE 230
WALNUT CREEK, CA 94596

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corrie Ingram's NPI number?

The NPI number for Corrie Ingram is 1003367608. It was assigned to this individual provider in the NPPES registry on October 18, 2016.

Where is Corrie Ingram located?

Corrie Ingram practices at 1910 Olympic Blvd Ste 210, Walnut Creek, CA 94596. The listed phone number is (925) 953-3048.

What is Corrie Ingram's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Corrie Ingram enrolled in Medicare?

No. Corrie Ingram has opted out of Medicare through May 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Corrie Ingram was last updated on October 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.