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MRS. JENNIFER MAVRICK INGRAM LMHC, CAP
NPI 1114125978
Counselor - Mental Health in Largo, FL

Active since July 03, 2007Opted out of Medicare · through Apr 1, 2028
1301 SEMINOLE BLVD, SUITE 103, LARGO, FL 33770(727) 213-5379(272) 213-5370 Get Directions Write a Review

NPPES record last updated: July 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jennifer Mavrick Ingram Lmhc, Cap NPPES

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

MRS. JENNIFER MAVRICK INGRAM LMHC, CAP (NPI 1114125978) is an individual mental health provider in Largo, Florida, licensed in Florida (MH8176) and active in the NPI registry since July 2007. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1114125978
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. JENNIFER MAVRICK INGRAMCredential: LMHC, CAP
Location Address1301 SEMINOLE BLVD, SUITE 103Largo, FL 33770-8173
Mailing Address1301 Seminole Blvd, Suite 103Largo, FL 33770-8173 · (727) 213-5379 · Fax (727) 213-5370
Phone(727) 213-5379
Fax(272) 213-5370
Sole ProprietorNo
Enumeration DateJuly 3, 2007
Last NPPES UpdateJuly 18, 2011
✔ NPI 1114125978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH8176
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 2868 (FL)
1301 SEMINOLE BLVD, Largo, FL 33770
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Other Names 1

Former Name (1)Jennifer Mavrick Lmhc, Cap

Other Identifiers 1

Other11691411FL · Caqh Id Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

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. Jennifer Mavrick Ingram Lmhc, Cap 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 April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 14

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

ALTERNATIVES IN BEHAVIORAL HEALTH, INC.
Community/Behavioral Health
1301 SEMINOLE BLVD, SUITE 169
LARGO, FL 33770
Pinellas County (727) 584-6055
COASTAL BEHAVIORAL HEALTH SERVICES, LLC
Community/Behavioral Health
1301 SEMINOLE BLVD, SUITE 168
LARGO, FL 33770
Pinellas County (727) 230-2131
RICHARD D MORRIS, LLC
Counselor (Mental Health)
1301 SEMINOLE BLVD, SUITE 103
LARGO, FL 33770
Pinellas County (727) 213-5379
JENNIFER R. YOUNG LMHC
Counselor (Mental Health)
1301 SEMINOLE BLVD, SUITE 169
LARGO, FL 33770
Pinellas County (727) 642-2189
BEHAVIORAL HEALTH PRACTITIONER'S, INC.
Psychologist (Clinical)
1301 SEMINOLE BLVD, B-112
LARGO, FL 33770
Pinellas County (727) 518-7294
DR. TERRY LEE CAPES ED. D.
Counselor (Mental Health)
1301 SEMINOLE BLVD, SUITE 166
LARGO, FL 33770
Pinellas County (727) 587-0635
DR. ROBERT A PENSA PHD
Psychologist (Clinical)
1301 SEMINOLE BLVD, B-112
LARGO, FL 33770
Pinellas County (727) 518-7294
MRS. CHRISTY M BOCCABELLA L.M.H.C.
Counselor (Mental Health)
1301 SEMINOLE BLVD, B-112
LARGO, FL 33770
Pinellas County (727) 518-7294

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 Jennifer Ingram's NPI number?

The NPI number for Jennifer Ingram is 1114125978. It was assigned to this individual provider in the NPPES registry on July 3, 2007. The provider is also known as Jennifer Mavrick Lmhc, Cap.

Where is Jennifer Ingram located?

Jennifer Ingram practices at 1301 Seminole Blvd Suite 103, Largo, FL 33770. The listed phone number is (727) 213-5379.

What is Jennifer Ingram's specialty?

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

Is Jennifer Ingram enrolled in Medicare?

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

What insurance does Jennifer Ingram accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Providence Health Plan and 1 other insurer list Jennifer Ingram as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Ingram was last updated on July 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.