MR. KERRY D INGRAM IX (NPI# 1639244395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639244395 |
| Entity Type | Individual |
| Full Name | MR. KERRY D INGRAM IX |
| Credential | LPC |
| Practice Address |
120 W Race Ave Ste 2 Searcy AR 72143-4237 |
| Practice Telephone | 5018276160 |
| Practice Fax Number | 5014007929 |
| Mailing Telephone | 5018276160 |
| Mailing Fax Number | 5014007929 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2013-03-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | P1012078 | AR | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
A0801006 | AR | Behavioral Health & Social Service Providers |
| Street Address |
120 W RACE AVE STE 2 |
| City | SEARCY |
| State | AR |
| Zip Code | 72143-4237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679188874 | Jessalyn Elise Tackett | Pharmacist | 200 E. Race Ave, Searcy, AR 72143 | 2020-09-14 |
| 1528697620 | Edward Lee | Student in an Organized Health Care Education/Training Program | 3214 E Race St, Searcy, AR 72143 | 2020-04-02 |
| 1700420338 | Rebecca Joanne Yauilla | Family Medicine | 3214 Race Avenue, Searcy, AR 72143 | 2019-11-06 |
| 1558913517 | The Forge Counseling Group LLC | Counselor | 505 S Elm St Suite C, Searcy, AR 72143 | 2019-07-10 |
| 1023584620 | Lisa Farley | Speech-Language Pathologist | 2918 Hawkins Drive, Searcy, AR 72143 | 2018-10-22 |
| 1144761719 | Christie Brooks | Dietitian, Registered | 91 Lakeway Drive, Searcy, AR 72143 | 2017-03-16 |
| 1639626112 | Kelly Walls | Pharmacist | 805 E Park Ave, Searcy, AR 72143 | 2016-09-01 |
| 1417316480 | Zach Wickes | Student in an Organized Health Care Education/Training Program | 506 N Van, Searcy, AR 72143 | 2016-02-18 |
| 1982081592 | Bethel Burris Oliver Pllc | Dentist | 3245 E. Race St, Searcy, AR 72143 | 2015-05-04 |
| 1053798116 | Ronnie Harlow | Rehabilitation Practitioner | 1005 East Park, Jim Citty Football and Athletic Training Facility, Searcy, AR 72143 | 2015-04-28 |
| Find all providers in zip 72143 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124483102 | Amanda Blair | Counselor | 202 N Pear St, Searcy, AR 72143-5273 | 2015-12-17 |
| 1366773913 | Jessica Scott | Counselor | 106 S Spring St, Searcy, AR 72143-7717 | 2010-01-21 |
| 1619171568 | Justin J Moore | Counselor | Hu Box # 12262, Searcy, AR 72149-0001 | 2007-06-13 |
| 1932281938 | Families, Inc. of Arkansas | Counselor | 1507 E Race Ave, Searcy, AR 72143-4661 | 2006-10-19 |
| 1215571856 | Kaitlyn Lanae Carr | Counselor | 1507 E Race Ave, Searcy, AR 72143-4661 | 2019-11-06 |
| 1093246977 | Laura Ladd | Counselor | 111 W Booth Rd, Searcy, AR 72143-8829 | 2017-03-23 |
| 1437698461 | Cori Danielle Alexander | Counselor | 1507 E. Race St., Searcy, AR 72143-4661 | 2017-02-23 |
| 1912459926 | Tony Eugene English | Counselor | 1507 E. Race St., Searcy, AR 72143-4661 | 2016-10-26 |
| 1780035675 | Stephen Mark Albers | Counselor | 1507 E. Race St., Searcy, AR 72143-4661 | 2016-06-22 |
| 1477914901 | Blair Psychological Services, Inc. | Counselor | 202 N Pear St, Suite A, Searcy, AR 72143-5273 | 2016-03-10 |
| Find all providers in SEARCY | ||||
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| 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.