Individual provider Active NPI

Heather N Ungethiem

  • Addiction (Substance Use Disorder) Counselor
  • Evansville, IN
National Provider Identifier
1346949658
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
87001794A Issued in IN
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

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
33011060AOtherINLICENSE

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

LicenseStateTypeSpecialty
87001794AINMDAddiction (Substance Use Disorder) Counselor
33011060AINMDSocial Worker
34011735AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling for Change, Inc. CurrentSince Feb 26, 2023 Accepting new patients
Indiana Eye Center LLC Past Accepting new patients
Maglinger Home Based Services Inc. PastSince Feb 26, 2023 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.

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.

Verify at the official NPI Registry.