JEFFREY SUNDBERG LMHC
NPI 1013222678
Counselor - Mental Health in Fort Lauderdale, FL

Q: 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.

Q: What is Jeffrey Sundberg's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Sundberg was last updated on August 6, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 06, 2010PECOS Enrolled

915 MIDDLE RIVER DR, SUITE 317, FORT LAUDERDALE, FL 33304(954) 812-6965 Get Directions Write a Review

NPPES record last updated: August 6, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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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

NPI1013222678

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameJEFFREY SUNDBERGCredential: LMHC

Location Address915 MIDDLE RIVER DR, SUITE 317Fort Lauderdale, FL 33304-3544

Mailing Address915 Middle River Dr, Suite 317Fort Lauderdale, FL 33304-3544

Phone(954) 812-6965

Sole ProprietorYes

Enumeration DateAugust 6, 2010

✔ NPI 1013222678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in FL · MH 10368

Also ListedCounselorTaxonomy 101Y00000X · License MH 10368 (FL)

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License MH 10368 (FL)

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License MH 10368 (FL)

915 MIDDLE RIVER DR, Fort Lauderdale, FL 33304

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Sundberg Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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