CHARLES DEWITT INGRAM NPI 1053073692

NPI Information

  • NPI: 1053073692
  • Provider Name: CHARLES DEWITT INGRAM
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 5555 N TACOMA AVE STE 2
    INDIANAPOLIS, IN
    ZIP 46220
  • Phone: (317) 209-7970

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NPI Details

Charles Dewitt Ingram is a mental health counselor in Indianapolis, IN. Charles Dewitt Ingram NPI is 1053073692. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5555 N TACOMA AVE STE 2
INDIANAPOLIS, IN
ZIP 46220-548
Phone: (317) 209-7970

The enumeration date for this NPI number is 10/11/2021 and was last updated on 3/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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