JEFFREY SUNDBERG LMHC
NPI 1013222678
Counselor - Mental Health in Fort Lauderdale, FL
About Jeffrey Sundberg Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFREY SUNDBERG LMHC (NPI 1013222678) is an individual mental health provider in Fort Lauderdale, Florida, licensed in Florida (MH 10368) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeffrey Sundberg Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jeffrey Sundberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Berkeley, CA 94709
- Reassigned Medicare billing, California enrollment
- 21 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FT LAUDERDALE, FL 33304
FORT LAUDERDALE, FL 33304
FORT LAUDERDALE, FL 33304
FT LAUDERDALE, FL 33304
FORT LAUDERDALE, FL 33304
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jeffrey Sundberg's NPI number?
The NPI number for Jeffrey Sundberg is 1013222678. It was assigned to this individual provider in the NPPES registry on August 6, 2010.
Where is Jeffrey Sundberg located?
Jeffrey Sundberg practices at 915 Middle River Dr Suite 317, Fort Lauderdale, FL 33304. The listed phone number is (954) 812-6965.
What is Jeffrey Sundberg's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jeffrey Sundberg enrolled in Medicare?
Yes. Jeffrey Sundberg is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jeffrey Sundberg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Sundberg reassigns Medicare benefits to Berkeley Therapy Institute (Berkeley, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Sundberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jeffrey Sundberg was last updated on August 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jeffrey Sundberg, LMHC · NPI 1013222678
Mental Health provider in Fort Lauderdale, Florida. Individual provider, active in the CMS NPPES registry since August 6, 2010.
## Identity
- **NPI:** 1013222678 (Entity type: Individual)
- **Enumerated:** August 6, 2010
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MH 10368 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 915 MIDDLE RIVER DR, SUITE 317, Fort Lauderdale, FL 33304-3544
- **Phone:** (954) 812-6965
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Berkeley Therapy Institute (NPI 1255497814, Berkeley, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 6, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1013222678) · Data from the CMS NPPES public registry.