Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Timothy Leon Ingram, MED

Individual provider Mental Health Counselor · NPI 1003966474

Mr. Timothy Leon Ingram, MED is a Mental Health Counselor in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.

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Practice location Address checks out

9951 Atlantic Blvd Ste 170
Jacksonville, FL 32225-6584
Phone: (904) 482-4105
Fax: (904) 482-4106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH1575 (FL)

Record details

NPI number1003966474
Entity typeIndividual (Type 1)
GenderMale
Credentials MED
Sole proprietorYes
NPI enumeratedJanuary 10, 2007
Last updated in NPPESJune 19, 2009

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