Desiree Cassandra Ingram, M.S.
Marriage & Family Therapist in Stillwater, OK. Individual provider (NPI-1).
NPI number1508072075
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1508072075
- Entity type
- Individual (NPI-1)
- Name
- Ms. Desiree Cassandra Ingram
- Credential
- M.S.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 14, 2007
- Last updated
- Jul 8, 2007
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 | 738 | OK | Yes |
Practice location
116 W 7th AveSuite 224
Stillwater, OK 74074-4064
Phone 405-743-0344
Mailing address
116 W 7th AveSuite 224
Stillwater, OK 74074-4064
Phone 405-743-0344
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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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