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SUJIE GU
NPI 1083428072
Counselor - Mental Health in Medford, MA

Active since February 03, 2025PECOS Enrolled
200 BOSTON AVE STE 1925, MEDFORD, MA 02155(617) 533-0416 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sujie Gu NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUJIE GU (NPI 1083428072) is an individual mental health provider in Medford, Massachusetts and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1083428072
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSUJIE GU
Location Address200 BOSTON AVE STE 1925Medford, MA 02155-4243
Mailing Address55 Station Lndg Apt 336wMedford, MA 02155-5029
Phone(617) 533-0416
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 3, 2025
NPPES CertifiedFebruary 1, 2025
✔ NPI 1083428072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
200 BOSTON AVE STE 1925, Medford, MA 02155
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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)

Sujie Gu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880165364
PECOS Enrollment IDI20260605000219
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.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

XIAOTIANYI DONG
Counselor (Mental Health)
200 BOSTON AVE STE 1925
MEDFORD, MA 02155
Middlesex County (617) 533-0416
ADELIS HEALTH PLLC
Counselor (Mental Health)
200 BOSTON AVE STE 1925
MEDFORD, MA 02155
Middlesex County (617) 533-0416
MOLLIE PRATT
Counselor (Mental Health)
200 BOSTON AVE STE 1925
MEDFORD, MA 02155
Middlesex County (781) 498-6035
JEFF MORRISON
Counselor (Professional)
200 BOSTON AVE STE 1925
MEDFORD, MA 02155
Middlesex County (617) 315-8256
ZIJIAN QIU
Counselor (Mental Health)
200 BOSTON AVE STE 1925
MEDFORD, MA 02155
Middlesex County (812) 606-1444
SRILEKHA MAHI VANGALA
Counselor (Mental Health)
200 BOSTON AVE STE 1925
MEDFORD, MA 02155
Middlesex County (617) 533-0416
NICHOLAS WHITE
Counselor
200 BOSTON AVE STE 1925
MEDFORD, MA 02155
Middlesex County (781) 628-2276
SILVANA MARIA ZAMBRANO ALMENARA
Counselor
200 BOSTON AVE STE 1925
MEDFORD, MA 02155
Middlesex County (617) 533-0416

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 Sujie Gu's NPI number?

The NPI number for Sujie Gu is 1083428072. It was assigned to this individual provider in the NPPES registry on February 3, 2025.

Where is Sujie Gu located?

Sujie Gu practices at 200 Boston Ave Ste 1925, Medford, MA 02155. The listed phone number is (617) 533-0416.

What is Sujie Gu's specialty?

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

Is Sujie Gu enrolled in Medicare?

Yes. Sujie Gu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sujie Gu was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.