Individual provider Active NPI

Heidi Faith Unterberg, LPC, NCC

  • Counselor
  • Stroudsburg, PA
National Provider Identifier
1013405364
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PC010211 Issued in PA
Practice address
745 Main St Ste 204
Stroudsburg, PA 18360
Phone
(570) 994-2664
Fax
(570) 694-6694
NPI assigned
Apr 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PC010211 PA Primary

Addresses

Primary practice location

745 Main St Ste 204
Stroudsburg, PA 18360

Mailing address

745 Main St Ste 204
Stroudsburg, PA 18360-2060
Phone (570) 994-2664

Other practice location 1

745 Main St Ste 204
Stroudsburg, PA 18360-2060
Phone (570) 994-2664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250211001692 PA Practitioner - Mental Health Counselor 3971033671 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC010211PAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rhodium Care Group of PA PLLC CurrentSince Nov 18, 2024 Accepting new patients
Pocono Behavioral Wellness, LLC Past Accepting new patients

Locations

2013 Cedarbridge Ave
Lakewood, NJ 08701

510 Brookmont Dr
Effort, PA 18330
Phone (610) 681-4070

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Care of Pennsylvania LLC 91 clinicians

Practice addresses (Care Compare)

2109 Red Lion Rd
Philadelphia, PA 19115-1711
Phone (718) 298-4375

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1013405364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 MAIN ST STE 204",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602060",
            "telephone_number": "570-994-2664",
            "fax_number": "570-694-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 MAIN ST STE 204",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "18360",
            "telephone_number": "570-994-2664",
            "fax_number": "570-694-6694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "745 Main St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Stroudsburg",
            "state": "PA",
            "postal_code": "183602060",
            "country_code": "US",
            "telephone_number": "570-994-2664",
            "fax_number": "570-694-6694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNTERBERG",
        "first_name": "HEIDI",
        "middle_name": "FAITH",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC010211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.