Active NPIIndividual providerSole proprietor

Corey M Ingram, LCADC

Counselor, Addiction (Substance Use Disorder) in Trenton, New Jersey

NPI Number1639850928
Practice location
204 Hillcrest Ave, Trenton, NJ 08618-3410
Fax
—
Last updated
October 13, 2023

Corey M Ingram is a Counselor, Addiction (Substance Use Disorder) based in Trenton, NJ. Corey M Ingram practices in Trenton, NJ and has the professional credentials of LCADC. The NPI Number for Corey M Ingram is 1639850928 and holds a License No. 37LC00332100. The current practice location address for Corey M Ingram is 204 Hillcrest Ave, Trenton, NJ 08618-3410 and can be reached out via phone at 609-508-2173.

Provider Profile Details

NPI Number
1639850928
Provider Name
Corey M Ingram
Credential
LCADC
Provider Entity Type
Individual
Gender
Male
Address
204 Hillcrest Ave, Trenton, NJ 08618-3410
Phone Number
609-508-2173
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
July 28, 2023
Last Update Date
October 13, 2023
Certification Date
October 13, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
204 Hillcrest Ave
Trenton, NJ 08618-3410
Zip
08618-3410
Phone Number
609-508-2173
Trenton, NJ 08618Get directions →

Provider Business Mailing Address Details

Address
204 Hillcrest Ave
Trenton, NJ 08618-3410
City
Trenton
State
NJ
Zip
08618-3410
Phone Number
609-508-2173

License Information

License Number (1)
37LC00332100
License Number (2)
37LC00332100
License State (2)
NJ
Taxonomy (2)
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Corey M Ingram, LCADC?

The NPI number of Corey M Ingram, LCADC is 1639850928. It was assigned on July 28, 2023 and is currently active in the NPPES registry.

What is the specialty of Corey M Ingram, LCADC?

Corey M Ingram, LCADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed under license number 37LC00332100.

Where does Corey M Ingram, LCADC practice?

The practice location is 204 Hillcrest Ave, Trenton, NJ 08618-3410. The office can be reached at 609-508-2173 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639850928 directly on the NPPES registry website.

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