JENNY A INGRAM MS,CSAC,IDP-AT,PSIT
NPI 1033379516
Counselor - Professional in Hayward, WI

Q: What is Jenny Ingram's NPI number?

The NPI number for Jenny Ingram is 1033379516. It was assigned to this individual provider in the NPPES registry on June 10, 2008.

Q: What is Jenny Ingram's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Jenny Ingram was last updated on August 16, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 10, 2008

13380 W TREPANIA RD, HAYWARD, WI 54843(715) 638-5116(715) 638-6107 Get Directions Write a Review

NPPES record last updated: August 16, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jenny A Ingram Ms,csac,idp-at,psit NPPES

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

JENNY A INGRAM MS,CSAC,IDP-AT,PSIT (NPI 1033379516) is an individual professional provider in Hayward, Wisconsin, licensed in Wisconsin (2831) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1033379516

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJENNY A INGRAMCredential: MS,CSAC,IDP-AT,PSIT

Location Address13380 W TREPANIA RDHayward, WI 54843-2186

Mailing Address13380 W Trepania Rd, Lac Courte Oreilles Community Health CtrHayward, WI 54843-2186 · (715) 638-5100 · Fax (715) 634-6107

Phone(715) 638-5116

Fax(715) 638-6107

Sole ProprietorNo

Enumeration DateJune 10, 2008

Last NPPES UpdateAugust 16, 2016

✔ NPI 1033379516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in WI · 2831

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 14547-131 (WI)

13380 W TREPANIA RD, Hayward, WI 54843

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Other Identifiers 1

Medicaid39172000WI

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.

MS. SANDRA ZEZNANSKI RD CDE

Dietitian, Registered