KIMBERELY L INGRAM LPC
NPI 1790761617
Counselor - Professional in Salem, MO

Active since December 22, 2005PECOS EnrolledAccepts Medicare Assignment
913 S PERSHING AVE, SALEM, MO 65560(888) 403-1071 Get Directions Write a Review

NPPES record last updated: March 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberely L Ingram Lpc NPPES

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

KIMBERELY L INGRAM LPC (NPI 1790761617) is an individual professional provider in Salem, Missouri, licensed in Missouri (002631) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1790761617
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKIMBERELY L INGRAMCredential: LPC
Location Address913 S PERSHING AVESalem, MO 65560-1845
Mailing Address1800 CommunityClinton, MO 64735-8804 · (660) 885-8131
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateDecember 22, 2005
Last NPPES UpdateMarch 27, 2019
NPI 1790761617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MO · 002631
913 S PERSHING AVE, Salem, MO 65560

Other Identifiers 1

Medicaid495023707MO

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kimberely L Ingram Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668819152
PECOS Enrollment IDI20240320000162
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.

Other Providers at the Same Location NPPES 10

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

Counselor (Professional)
913 S PERSHING AVE
SALEM, MO 65560
Counselor (Professional)
913 S PERSHING AVE
SALEM, MO 65560
Psychiatry & Neurology (Psychiatry)
913 S PERSHING AVE
SALEM, MO 65560
Social Worker
913 S PERSHING AVE
SALEM, MO 65560
Psychiatry & Neurology (Psychiatry)
913 S PERSHING AVE
SALEM, MO 65560
Counselor (Professional)
913 S PERSHING AVE
SALEM, MO 65560
Counselor (Professional)
913 S PERSHING AVE
SALEM, MO 65560
Counselor (Professional)
913 S PERSHING AVE
SALEM, MO 65560

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 Kimberely Ingram's NPI number?

The NPI number for Kimberely Ingram is 1790761617. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Kimberely Ingram located?

Kimberely Ingram practices at 913 S Pershing Ave, Salem, MO 65560. The listed phone number is (888) 403-1071.

What is Kimberely Ingram's specialty?

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

Is Kimberely Ingram enrolled in Medicare?

Yes. Kimberely Ingram is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kimberely Ingram accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Medica and UnitedHealthcare list Kimberely 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 Kimberely Ingram was last updated on March 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.