Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275302036 Individual Practitioner Male Practitioner

Ingram Malcolm Kerry Dirton

Counselor • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Ingram Dirton is a registered healthcare professional specializing in Counselor in Phoenix, AZ. Practice services are available at 2102 W BETHANY HOME RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2102 W Bethany Home Rd

Phoenix, AZ 850151935

Telephone 6027744745
Associated Practice Facility / Clinic
🏢 County Of Yavapai Facility NPI 1659317022

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.7 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
271 Specialists

Practicing in Phoenix, AZ (1205 Statewide)

Telehealth Adoption Rate
2.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-15
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License AZ LAC-08076T

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
230427 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
NPI 1093346207

Licensed Master Social Worker

Tara Pitts , MA, LAC, BHP

Counselor - Mental Health

NPI 1174169189

Master of Arts, Licensed Acupuncturist, BHP

NPI 1174185748

Master of Social Work, LGSW

Paula Johnson , LMSW

Social Worker - Clinical

NPI 1184122558

Licensed Master Social Worker

NPI 1194488833

Licensed Acupuncturist

Narita Rusling , COUNSELOR

Counselor - Mental Health

NPI 1225649874

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address July 15, 2026

Registered at 1090 COMMERCE DR, PRESCOTT, AZ 863053700 (Tel: 9285831000)

NPI Profile Active December 21, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location December 21, 2023

Registered at 2102 W BETHANY HOME RD, PHOENIX, AZ 850151935 (Tel: 6027744745)

📍
Updated Business Mailing Address December 21, 2023

Registered at 708 S LINDON LN APT 5020A, TEMPE, AZ 852813221 (Tel: 8649791325)

👤
Provider Name / Credentials Updated December 21, 2023

Recorded as INGRAM DIRTON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2023

Counselor (License #LAC-08076T in AZ)

🟢
Initial NPI Registration & Enumeration December 21, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275302036
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 21, 2023
Last Update: July 15, 2026
Sole Proprietor: No

Mailing Address

1090 Commerce Dr

Prescott, AZ 863053700

Phone: 9285831000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.