Active NPI
Jennifer Ugur, LPC
- Mental Health Counselor
- Middleton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10086-125
- Practice address
- 1350 Deming Way Ste 240
Middleton, WI 53562-4639 - Phone
- (608) 927-4779
- NPI assigned
- Dec 16, 2019
- Last updated
- Oct 23, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10086-125 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Valley Integrated Services LLC | Current | Accepting new patients | |
| Youbloomcounseling LLC | Current | Accepting new patients | |
| Amg Medical Services LLC | Current | Accepting new patients | |
| Pine Valley Residential Services | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Middleton, WI
- NPI 1154144673
-
- Community/Behavioral Health Agency
- Mauston, WI
- NPI 1013375104
-
- Mental Illness Community Based Residential Treatment Facility
- Mauston, WI
- NPI 1891126751
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
- Norbert F Toussaint, MD
- Transformations Surgery Center, Inc.
- Gregory R Trost, MD
- Turning Leaf Counseling, LLC
- Eryka Lynn Uehling, OD
- Josie M. Ullsperger, PHD
- University of Wisconsin Hospitals & Clinics Authority
- University of Wisconsin Hospitals and Clincs Authority
- University of Wisconsin Hospitals and Clinics Authority (UW Durable Medical Equipment & Medical Supplies)
- University of Wisconsin Hospitals and Clinics Authority
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.