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PHYLLIS INGRAM LMHC
NPI 1083371611
Counselor - Mental Health in Ponte Vedra Beach, FL

Active since November 18, 2021PECOS Enrolled
3107 SAWGRASS VILLAGE CIR, PONTE VEDRA BEACH, FL 32082(904) 373-0942 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phyllis Ingram Lmhc NPPES

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

PHYLLIS INGRAM LMHC (NPI 1083371611) is an individual mental health provider in Ponte Vedra Beach, Florida, licensed in Florida (MH004028) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083371611
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NamePHYLLIS INGRAMCredential: LMHC
Location Address3107 SAWGRASS VILLAGE CIRPonte Vedra Beach, FL 32082-5032
Mailing Address3107 Sawgrass Village CirPonte Vedra Beach, FL 32082-5032 · (904) 373-0942
Phone(904) 373-0942
Sole ProprietorYes
Enumeration DateNovember 18, 2021
NPPES CertifiedNovember 11, 2021
✔ NPI 1083371611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH004028
3107 SAWGRASS VILLAGE CIR, Ponte Vedra Beach, FL 32082
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phyllis Ingram Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Phyllis Ingram's NPI number?

The NPI number for Phyllis Ingram is 1083371611. It was assigned to this individual provider in the NPPES registry on November 18, 2021.

Where is Phyllis Ingram located?

Phyllis Ingram practices at 3107 Sawgrass Village Cir, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 373-0942.

What is Phyllis Ingram's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Phyllis Ingram enrolled in Medicare?

Yes. Phyllis Ingram is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phyllis Ingram was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.