Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Mallory Ingram, MA, LCPC, LMHC, R-DMT

Individual provider Mental Health Counselor · NPI 1275080293

MS. Mallory Ingram, MA, LCPC, LMHC, R-DMT is a Mental Health Counselor in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Illinois and Massachusetts.

Licensed in
IL, MA
In the registry since
2016
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

867 Boylston St Fl 5
Boston, MA 02116-2774
Phone: (740) 408-6407
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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 12080 (MA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 178.011231 (IL)

Record details

NPI number1275080293
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LCPC , LMHC , R-DMT
Sole proprietorYes
NPI enumeratedSeptember 7, 2016
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026

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