Individual provider Active NPI

Jonathan Ugalde, MSED, LPC, NCC

  • Professional Counselor
  • North Chesterfield, VA
National Provider Identifier
1952860116
Registry record updated Dec 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701008227 Issued in VA
Practice address
9023 Forest Hill Ave Ste 2a
North Chesterfield, VA 23235-3054
Phone
(804) 476-8210
Fax
(804) 800-2423
NPI assigned
Mar 18, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2019

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 0701008227 VA Primary

Addresses

Primary practice location

9023 Forest Hill Ave Ste 2a
North Chesterfield, VA 23235-3054

Mailing address

1406 Sandbag Ter
Midlothian, VA 23113-2577
Phone (518) 774-6393

Other practice location 1

7001 Jahnke Rd
Richmond, VA 23225-4146
Phone (804) 823-7754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241017001907 DC Practitioner - Mental Health Counselor 9830621689 Reassigns benefits to 1 organization
I20250310000409 NY Practitioner - Mental Health Counselor 9830621689 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Cayuga CountyGroup PAC ID 6204747157, 19 clinicians

Practice addresses (Care Compare)

146 N St
Auburn, NY 13021-1831
Phone (315) 253-0341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Sep 6, 2024 Accepting new patients
Cayuga County CurrentSince Feb 3, 2025 Accepting new patients
Calming Wind Counseling Services, LLC Professional Current Accepting new patients
Cayuga County CurrentSince Feb 3, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

146 North St
Auburn, NY 13021
Phone (315) 253-0341

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 4

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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575676800000",
    "number": "1952860116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 SANDBAG TER",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132577",
            "telephone_number": "518-774-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9023 FOREST HILL AVE STE 2A",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232353054",
            "telephone_number": "804-476-8210",
            "fax_number": "804-800-2423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7001 Jahnke Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232254146",
            "country_code": "US",
            "telephone_number": "804-823-7754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UGALDE",
        "first_name": "JONATHAN",
        "credential": "MSED, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-12-07",
        "certification_date": "2019-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.