Active NPI
Ottman Family Therapy, PLLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clemmons, NC
National Provider Identifier
1194524298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- OTTMAN FAMILY THERAPY, PLLC
- Practice address
- 3844 Clemmons Rd
Clemmons, NC 27012-7532 - Phone
- (202) 823-2139
- NPI assigned
- Mar 11, 2025
- Last updated
- Apr 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacob Ottman, LCMHC
- Title
- Owner
- Phone
- (202) 823-2139
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
3844 Clemmons Rd
Clemmons, NC 27012-7532
Mailing address
480 Essen PL
Kernersville, NC 27284-8332
Phone (202) 823-2139
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Clemmons, NC
- NPI 1477272797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775433600000",
"number": "1194524298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 ESSEN PL",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272848332",
"telephone_number": "202-823-2139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3844 CLEMMONS RD",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270127532",
"telephone_number": "202-823-2139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OTTMAN FAMILY THERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-11",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A",
"authorized_official_last_name": "OTTMAN",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "202-823-2139",
"authorized_official_credential": "LCMHC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clemmons, NC
- Caitlin Ontiveros, PA-C
- Optimal Health Chiropractic
- Optimal Health Chiropractic PLLC
- Martha Elaine Orcutt, AU.D.
- Orthocarolina, PA
- Jacob S Ottman, LCMHC
- Tyler Kian Owens, PA-C
- Lindsey Pace, LCSW
- Jillian Victoria Palmer, AU.D.
- Paramount of Clemmons LLC (Paramount of Clemmons Nursing and Rehabilitation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.