Individual provider Active NPI

Jennifer Ugur, LPC

  • Mental Health Counselor
  • Middleton, WI
National Provider Identifier
1073151593
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10086-125 Issued in WI
Practice address
1350 Deming Way Ste 240
Middleton, WI 53562-4639
Phone
(608) 927-4779
NPI assigned
Dec 16, 2019
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10086-125 WI Primary

Addresses

Primary practice location

1350 Deming Way Ste 240
Middleton, WI 53562-4639

Mailing address

7656 Lisa LN Apt 124
Middleton, WI 53562-1450
Phone (773) 739-0631

Other practice location 1

629 River St
Belleville, WI 53508-9189
Phone (773) 739-0631

Other practice location 2

124 Grayside Ave
Mauston, WI 53948-1913
Phone (608) 847-7575

Other practice location 3

437 S Yellowstone Dr
Madison, WI 53719-2902
Phone (773) 739-0631

Other practice location 4

8383 Greenway Blvd Ste 600
Middleton, WI 53562-4659
Phone (773) 739-0631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240410002332 WI Practitioner - Mental Health Counselor 0042658957 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10086-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Valley Integrated Services LLC CurrentSince Jan 1, 2024 Accepting new patients
Youbloomcounseling LLC CurrentSince Nov 10, 2024 Accepting new patients
Amg Medical Services LLC CurrentSince Apr 29, 2024 Accepting new patients
Pine Valley Residential Services PastSince Dec 1, 2019 Accepting new patients

Locations

1350 Deming Way
Ste 240
Middleton, WI 53562
Phone (608) 669-7333

8383 Greenway Blvd
Ste 600
Middleton, WI 53562
Phone (515) 419-1742

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1073151593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7656 LISA LN APT 124",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535621450",
            "telephone_number": "773-739-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 DEMING WAY STE 240",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535624639",
            "telephone_number": "608-927-4779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "629 River St",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "WI",
            "postal_code": "535089189",
            "country_code": "US",
            "telephone_number": "773-739-0631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "124 Grayside Ave",
            "address_purpose": "LOCATION",
            "city": "Mauston",
            "state": "WI",
            "postal_code": "539481913",
            "country_code": "US",
            "telephone_number": "608-847-7575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "437 S Yellowstone Dr",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537192902",
            "country_code": "US",
            "telephone_number": "773-739-0631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8383 Greenway Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Middleton",
            "state": "WI",
            "postal_code": "535624659",
            "country_code": "US",
            "telephone_number": "773-739-0631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UGUR",
        "first_name": "JENNIFER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "10086-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, WI

Sources for this page

Verify at the official NPI Registry.