JAY R INGRAM (NPI# 1275924565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275924565 |
| Entity Type | Individual |
| Full Name | JAY R INGRAM |
| Practice Address |
1213 Ellison Ave Louisville KY 40204-1951 |
| Practice Telephone | 2709990643 |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPCCCA00216553 | KY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679968788 | Jay Ingram | Family Medicine | 5156 E Main St, Columbus, OH 43213-2424 | 2015-04-06 |
| Street Address |
1213 ELLISON AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40204-1951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619434974 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Centerstone Broadway, 914 East Broadway Suite 200, Louisville, KY 40204 | 2019-02-22 |
| 1821317975 | Abby Fowler | Social Worker | 1357 Bardstown Rd, Louisville, KY 40204 | 2010-05-27 |
| 1033317441 | Katrina Laflesh | Counselor | 914 East Broadway, 3rd Floor, Louisville, KY 40204 | 2007-07-06 |
| 1770790891 | Richard Brooks | Counselor | 914 East Broadway 1st, Louisville, KY 40204 | 2007-05-17 |
| 1447302922 | Walden Chiropractic Psc | Chiropractor | 1072 Bardstown Road, Louisville, KY 40204 | 2007-01-17 |
| 1053485938 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1023 E Broadway, Louisville, KY 40204 | 2006-11-20 |
| 1710072137 | Sandra L. Payne | Dentist | John P Rakutt Dmd Psc, 801 Barret Avenue #107, Louisville, KY 40204 | 2006-10-03 |
| 1013017482 | Bonnie L Varisco | Social Worker | 914 E. Broadway, 2nd, Louisville, KY 40204 | 2006-09-25 |
| 1902854334 | Kevin B Spicer | Pediatrics | 834 E Broadway, Louisville, KY 40204 | 2006-05-05 |
| 1992777213 | Donna Maclain Stewart | Pathology | Office of The Chief Medical Examiner;urban Government C, 810 Barret Ave, Louisville, KY 40204 | 2006-02-02 |
| Find all providers in zip 40204 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625649 | Laronica Shonta Lawson | Counselor | 17127 Piton Way, Louisville, KY 40245-5409 | 2020-06-29 |
| 1295351724 | Jonathan Yussman | Counselor | 3102 Sunfield Cir, Louisville, KY 40241-6514 | 2020-06-20 |
| 1841811478 | Geneva Marie Drane | Counselor | 4316 Lonsdale Ave, Louisville, KY 40215-1036 | 2020-05-05 |
| 1366082059 | Ramicha T Smith | Counselor | 4602 Southern Pkwy Ste 2c, Louisville, KY 40214-1442 | 2020-01-09 |
| 1558904888 | Sarah Christine Faulkner | Counselor | 3801 Beaufort Ln Apt B, Louisville, KY 40207-4454 | 2019-10-18 |
| 1477101103 | Far Journeys LLC | Counselor | 9720 Bunsen Pkwy, Louisville, KY 40299-1802 | 2019-08-27 |
| 1528615689 | Candace Cooper | Counselor | 214 Breckenridge Ln Ste 203, Louisville, KY 40207-3879 | 2019-08-23 |
| 1760036768 | Rebecca L Roberts-kerns | Counselor | 1936 Gardiner Ln Apt 3, Louisville, KY 40205-2858 | 2019-07-29 |
| 1477110906 | Lauren Muir | Counselor | 1860 Mellwood Ave Ste 117, Louisville, KY 40206-1033 | 2019-05-20 |
| 1851956999 | Christine Smock | Counselor | 700 Front St # 106, Louisville, CO 80027-1805 | 2019-05-03 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40204 |
Please comment or provide details below to improve the information on JAY R INGRAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.