Individual provider Active NPI

Mary Douglas Ungetheim, MA LMFT

  • Marriage & Family Therapist
  • Winston Salem, NC
National Provider Identifier
1043299068
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
527 Issued in NC
Practice address
3000 Bethesda PL
Options of Winston Salem Suite 103
Winston Salem, NC 27103-3331
Phone
(336) 768-9768
Fax
(336) 768-9557
NPI assigned
Jan 10, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 527 NC Primary

Addresses

Primary practice location

3000 Bethesda PL
Options of Winston Salem Suite 103
Winston Salem, NC 27103-3331

Mailing address

3000 Bethesda PL
Options of Winston Salem Suite 103
Winston Salem, NC 27103-3331
Phone (336) 768-9768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1043299068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 BETHESDA PL",
            "address_2": "OPTIONS OF WINSTON SALEM SUITE 103",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033331",
            "telephone_number": "336-768-9768",
            "fax_number": "336-768-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 BETHESDA PL",
            "address_2": "OPTIONS OF WINSTON SALEM SUITE 103",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033331",
            "telephone_number": "336-768-9768",
            "fax_number": "336-768-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNGETHEIM",
        "first_name": "MARY",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mrs.",
        "credential": "MA LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.