Organization Active NPI

Ungetheim and Associates PLLC

  • Mental Health Counselor
  • Winston Salem, NC
National Provider Identifier
1982215216
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
UNGETHEIM AND ASSOCIATES PLLC
Practice address
3000 Bethesda PL Ste 103
Winston Salem, NC 27103-3323
Phone
(336) 543-6057
NPI assigned
Aug 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
Mr. Jeffrey L Ungetheim, MA, LCMHCSNPI 1710966726
Title
Owner/Member
Phone
(336) 543-6057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3000 Bethesda PL Ste 103
Winston Salem, NC 27103-3323

Mailing address

3000 Bethesda PL Ste 103
Winston Salem, NC 27103-3323
Phone (336) 543-6057

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1982215216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 BETHESDA PL STE 103",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033323",
            "telephone_number": "336-543-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 BETHESDA PL STE 103",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033323",
            "telephone_number": "336-543-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNGETHEIM AND ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "UNGETHEIM",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "336-543-6057",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LCMHCS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Aug 11, 2020; 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.