MITZI INGRAM
NPI 1639936982
Counselor - Addiction (Substance Use Disorder) in Baltimore, MD

Active since March 04, 2024
3455 WILKENS AVE LOWR LEVEL20, BALTIMORE, MD 21229(410) 646-6970 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mitzi Ingram NPPES

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

MITZI INGRAM (NPI 1639936982) is an individual addiction (substance use disorder) provider in Baltimore, Maryland, licensed in Maryland (ADT3387) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1639936982
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMITZI INGRAM
Location Address3455 WILKENS AVE LOWR LEVEL20Baltimore, MD 21229-5213
Mailing Address3455 Wilkens Ave Lowr Level20Baltimore, MD 21229-5213 · (410) 646-6970 · Fax (410) 644-5609
Sole ProprietorNo
Enumeration DateMarch 4, 2024
NPPES CertifiedMarch 4, 2024
NPI 1639936982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in MD · ADT3387
3455 WILKENS AVE LOWR LEVEL20, Baltimore, MD 21229

Other Providers at the Same Location NPPES 19

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

Licensed Practical Nurse
3455 WILKENS AVE LOWR LEVEL20
BALTIMORE, MD 21229
Peer Specialist
3455 WILKENS AVE LOWR LEVEL20
BALTIMORE, MD 21229
Counselor (Addiction (Substance Use Disorder))
3455 WILKENS AVE LOWR LEVEL20
BALTIMORE, MD 21229
Licensed Practical Nurse
3455 WILKENS AVE LOWR LEVEL20
BALTIMORE, MD 21229
Peer Specialist
3455 WILKENS AVE LOWR LEVEL20
BALTIMORE, MD 21229
Licensed Practical Nurse
3455 WILKENS AVE LOWR LEVEL20
BALTIMORE, MD 21229
Counselor (Addiction (Substance Use Disorder))
3455 WILKENS AVE LOWR LEVEL20
BALTIMORE, MD 21229
Counselor (Addiction (Substance Use Disorder))
3455 WILKENS AVE LOWR LEVEL20
BALTIMORE, MD 21229

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 Mitzi Ingram's NPI number?

The NPI number for Mitzi Ingram is 1639936982. It was assigned to this individual provider in the NPPES registry on March 4, 2024.

Where is Mitzi Ingram located?

Mitzi Ingram practices at 3455 Wilkens Ave Lowr Level20, Baltimore, MD 21229. The listed phone number is (410) 646-6970.

What is Mitzi Ingram's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mitzi Ingram was last updated on March 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.