Zillah Lise Ingram, M.Ed., NCC, LGPC
Marriage & Family Therapist in Columbia, MD. Individual provider (NPI-1).
NPI number1205375136
StatusActive
Last updated in NPPESFeb 12, 2017
Details
- NPI
- 1205375136
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Zillah Lise Ingram
- Credential
- M.Ed., NCC, LGPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 12, 2017
- Last updated
- Feb 12, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LGP7514 | MD | Yes |
Practice location
5457 Twin Knolls RdSuite 301
Columbia, MD 21045-3259
Phone 410-864-6386 · Fax 410-992-6671
Mailing address
5457 Twin Knolls RdSuite 301
Columbia, MD 21045-3259
Phone 410-864-6386 · Fax 410-992-6671
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 38 Marriage & Family Therapist providers in Columbia · All 8,557 providers in Columbia
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