Active NPI
Heather N Ungethiem
- Addiction (Substance Use Disorder) Counselor
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 87001794A
- Practice address
- 1133 Lincoln Ave
Evansville, IN 47714-1028 - Phone
- (812) 491-2615
- NPI assigned
- Feb 24, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 33011060A | IN | |
| Clinical Social Worker | 1041C0700X | 34011735A | IN | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 87001794A | IN | Primary |
Addresses
Primary practice location
1133 Lincoln Ave
Evansville, IN 47714-1028
Mailing address
1133 Lincoln Ave
Evansville, IN 47714-1028
Phone (812) 491-2615
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33011060A | Other | IN | LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87001794A | IN | MD | Addiction (Substance Use Disorder) Counselor |
| 33011060A | IN | MD | Social Worker |
| 34011735A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling for Change, Inc. | Current | Accepting new patients | |
| Indiana Eye Center LLC | Past | Accepting new patients | |
| Maglinger Home Based Services Inc. | Past | Accepting new patients |
Locations
1133 Lincoln Ave
Evansville, IN 47714
Phone (812) 303-0212
3500 N Harlan Ave
Evansville, IN 47711
Phone (812) 421-6200
118 Vine St
Evansville, IN 47708
Phone (812) 303-0212
638 Broadway St
Vincennes, IN 47591
1276 E 250 N
Washington, IN 47501
5 SE 1st St
Washington, IN 47501
Phone (812) 254-0063
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.
-
- Community/Behavioral Health Agency
- Evansville, IN
- NPI 1538465349
-
- Ophthalmology Physician
- Princeton, IN
- NPI 1710265269
-
- Mental Health Counselor
- Evansville, IN
- NPI 1811293624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741910400000",
"number": "1346949658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 LINCOLN AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477141028",
"telephone_number": "812-491-2615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 LINCOLN AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477141028",
"telephone_number": "812-491-2615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNGETHIEM",
"first_name": "HEATHER",
"middle_name": "N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-24",
"last_updated": "2025-03-14",
"certification_date": "2025-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "33011060A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34011735A",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IN",
"license": "87001794A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "33011060A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.