1. Home
  2. Directory
  3. Indiana
  4. South Bend
  5. Counselor
  6. NPI Profile

IMANI INGRAM MPA, ACIT
NPI 1912381575
Counselor - Addiction (Substance Use Disorder) in South Bend, IN

Active since July 14, 2015
4218 W WESTERN AVE, SOUTH BEND, IN 46619(574) 233-1524 Get Directions Write a Review

NPPES record last updated: July 14, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Imani Ingram Mpa, Acit NPPES

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

IMANI INGRAM MPA, ACIT (NPI 1912381575) is an individual addiction (substance use disorder) provider in South Bend, Indiana and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1912381575
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameIMANI INGRAMCredential: MPA, ACIT
Location Address4218 W WESTERN AVESouth Bend, IN 46619-2622
Mailing Address4218 W Western AveSouth Bend, IN 46619-2622 · (574) 233-1524
Phone(574) 233-1524
Sole ProprietorNo
Enumeration DateJuly 14, 2015
✔ NPI 1912381575 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
4218 W WESTERN AVE, South Bend, IN 46619
Open in Google Maps ↗

Other Providers at the Same Location NPPES 7

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

KELLY FRANKLIN
Counselor
4218 W WESTERN AVE
SOUTH BEND, IN 46619
St. Joseph County (574) 233-1524
MRS. ERIN T. LACOURT LAC
Counselor (Addiction (Substance Use Disorder))
4218 W WESTERN AVE
SOUTH BEND, IN 46619
St. Joseph County (574) 233-1524
VICTORY CLINICAL SERVICES II LLC
Family Medicine (Addiction Medicine)
4218 W WESTERN AVE
SOUTH BEND, IN 46619
St. Joseph County (574) 233-1524
DAVID BRINER
Counselor (Addiction (Substance Use Disorder))
4218 W WESTERN AVE
SOUTH BEND, IN 46619
St. Joseph County (574) 233-1524
JOIE WROBLEWSKI
Counselor (Addiction (Substance Use Disorder))
4218 W WESTERN AVE
SOUTH BEND, IN 46619
St. Joseph County (574) 233-1524
JOHN ANTHONY KRECEK MA,CAADC, MATS, CCJP
Counselor (Addiction (Substance Use Disorder))
4218 W WESTERN AVE
SOUTH BEND, IN 46619
St. Joseph County (574) 233-1524
JOHN ANTHONY KRECEK MA,CAADC, MATS, CCJP
Counselor (Addiction (Substance Use Disorder))
4218 W WESTERN AVE
SOUTH BEND, IN 46619
St. Joseph County (574) 233-1524

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 Imani Ingram's NPI number?

The NPI number for Imani Ingram is 1912381575. It was assigned to this individual provider in the NPPES registry on July 14, 2015.

Where is Imani Ingram located?

Imani Ingram practices at 4218 W Western Ave, South Bend, IN 46619. The listed phone number is (574) 233-1524.

What is Imani 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 Imani Ingram was last updated on July 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.