Modern Soul Therapy LLC
NPI 1013516145ActiveOrganization· Counselor, Mental Health· Quincy, MA
Counselor, Mental Health in Quincy, Massachusetts, registered in NPPES in October 2020. The authorized official on file is Mallory A. Ingram, LMHC, LCPC, Owner.
Overview
| NPI | 1013516145 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 20, 2020 |
| Last updated in NPPES | Feb 10, 2025 |
| Certified by provider | Feb 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Counselor, Mental Health providers in Quincy
- 1851686455
- 1891685020
- 1093048787
- 1861101263
- 1952123564
- 1992984710
- 1467018333
- 1447970694
- 1962833863
- 1144923160
- 1811858764
- 1528963899