Individual provider Active NPI

Patricia Hageman Ungaro, LPC

  • Professional Counselor
  • Rutherford, NJ
National Provider Identifier
1922318187
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00042600 Issued in NJ
Practice address
15 Union Ave
Rutherford, NJ 07070-1273
Phone
(201) 370-7994
Fax
(201) 804-2722
NPI assigned
Oct 20, 2010
Last updated
Oct 20, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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 37PC00042600 NJ Primary

Addresses

Primary practice location

15 Union Ave
Rutherford, NJ 07070-1273

Mailing address

74 Addison Ave
Rutherford, NJ 07070-2326
Phone (201) 370-7994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250617003118 NJ Practitioner - Mental Health Counselor 6709327018 Practice locations: Rutherford, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC00042600NJMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1922318187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 ADDISON AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702326",
            "telephone_number": "201-370-7994",
            "fax_number": "201-804-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 UNION AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701273",
            "telephone_number": "201-370-7994",
            "fax_number": "201-804-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNGARO",
        "first_name": "PATRICIA",
        "middle_name": "HAGEMAN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00042600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford, NJ

Sources for this page

Verify at the official NPI Registry.