Mr Timothy Leon Ingram, MED - Counselor in Jacksonville, FL

Mr Timothy Leon Ingram, MED is a Counselor - Mental Health based in Jacksonville, Florida. Mr Timothy Leon Ingram is licensed to practice in Florida (license number MH1575) and his current practice location is 9951 Atlantic Blvd, Ste 170, Jacksonville, Florida. He can be reached at his office (for appointments etc.) via phone at (904) 482-4105.

NPI number for Mr Timothy Leon Ingram is 1003966474 and his current mailing address is 113 Pine St, Neptune Beach, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003966474.

Contact Information

Mr Timothy Leon Ingram, MED
9951 Atlantic Blvd, Ste 170,
Jacksonville, FL 32225-6584
(904) 482-4105
(904) 482-4106

Map and Direction


Healthcare Provider's Profile

Full NameMr Timothy Leon Ingram
GenderMale
SpecialityCounselor - Mental Health
Location9951 Atlantic Blvd, Jacksonville, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003966474
  • Provider Enumeration Date: 01/10/2007
  • Last Update Date: 06/19/2009

Medical Identifiers

Medical identifiers for Mr Timothy Leon Ingram such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003966474NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health MH1575 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Timothy Leon Ingram is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Timothy Leon Ingram, MED
113 Pine St,
Neptune Beach, FL 32266-6050

Ph: (904) 249-5439
Mr Timothy Leon Ingram, MED
9951 Atlantic Blvd, Ste 170,
Jacksonville, FL 32225-6584

Ph: (904) 482-4105

Reviews and Comments


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