MR. TIMOTHY LEON INGRAM (M.ED.) – Mental Health Counselor, NPI 1003966474

Mental Health Counselor

MR. TIMOTHY LEON INGRAM (M.ED.) is a healthcare provider. based in Neptune beach, Florida. specializing in Mental Health Counselor. They hold the professional credentials M.ED.. They hold a License No. MH1575 (FL). The NPI Number for MR. TIMOTHY LEON INGRAM (M.ED.) is 1003966474

Main info

Male

Sole Proprietor

Name

MR. TIMOTHY LEON INGRAM (M.ED.)

NPI

1003966474

Phone

(904) 249-5439

Address

113 PINE ST

Enumeration Date

10 January 2007

Last Update Date

19 June 2009

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MR. TIMOTHY LEON INGRAM (M.ED.)

113, Pine Street, Neptune, Neptune Beach, Duval County, Florida, 32266, United States
NEPTUNE BEACH, FL 322666050
Phone: (904) 249-5439
Fax: (904) 482-4106
Type: Mailing
9951, Atlantic Boulevard, Jacksonville, Duval County, Florida, 32225, United States
STE 170
JACKSONVILLE, FL 322256584
Phone: (904) 482-4105
Fax: (904) 482-4106
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32266)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. TIMOTHY LEON INGRAM (M.ED.)?

MR. TIMOTHY LEON INGRAM (M.ED.) — NPI 1003966474 — is the standard way to identify this listing.

Does CMS list MR. TIMOTHY LEON INGRAM (M.ED.) as active?

Yes — MR. TIMOTHY LEON INGRAM (M.ED.) is active in the NPI listing used on this page.

What taxonomy line describes MR. TIMOTHY LEON INGRAM (M.ED.)?

For research purposes, treat MR. TIMOTHY LEON INGRAM (M.ED.) as Mental Health Counselor in this dataset. Clinical services aligned with this taxonomy classification.

What area does MR. TIMOTHY LEON INGRAM (M.ED.) serve?

MR. TIMOTHY LEON INGRAM (M.ED.)'s listing highlights Neptune Beach, Florida; more addresses can appear in NPPES.

Why does MR. TIMOTHY LEON INGRAM (M.ED.) have multiple addresses?

2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.