Individual provider Active NPI

Jeffrey Lynn Ungetheim, MA MDIV LPC

  • Professional Counselor
  • Winston Salem, NC
National Provider Identifier
1710966726
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2021 Issued in NC
Practice address
3000 Bethesda PL
Options of Winston Salem Suite 103
Winston Salem, NC 27103-3331
Phone
(336) 768-9768
Fax
(336) 768-9557
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2021 NC Primary

Addresses

Primary practice location

3000 Bethesda PL
Options of Winston Salem Suite 103
Winston Salem, NC 27103-3331

Mailing address

3000 Bethesda PL
Options of Winston Salem Suite 103
Winston Salem, NC 27103-3331
Phone (336) 768-9768

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2021NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ungetheim and Associates PLLC Current Accepting new patients

Locations

3000 Bethesda Pl
Ste 103
Winston Salem, NC 27103
Phone (336) 281-5662

Organizations & group practices 1

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1710966726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 BETHESDA PL",
            "address_2": "OPTIONS OF WINSTON SALEM SUITE 103",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033331",
            "telephone_number": "336-768-9768",
            "fax_number": "336-768-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 BETHESDA PL",
            "address_2": "OPTIONS OF WINSTON SALEM SUITE 103",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033331",
            "telephone_number": "336-768-9768",
            "fax_number": "336-768-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNGETHEIM",
        "first_name": "JEFFREY",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "MA MDIV LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "2021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.