DARLENE M SUNDSTROM
NPI 1104301076
Counselor - Mental Health in Everett, WA
About Darlene M Sundstrom NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DARLENE M SUNDSTROM (NPI 1104301076) is an individual mental health provider in Everett, Washington and active in the NPI registry since September 2018. She has opted out of Medicare through December 1, 2026 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Darlene M Sundstrom has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 1, 2024 through December 1, 2026.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Darlene Sundstrom's NPI number?
The NPI number for Darlene Sundstrom is 1104301076. It was assigned to this individual provider in the NPPES registry on September 26, 2018.
Where is Darlene Sundstrom located?
Darlene Sundstrom practices at 2722 Colby Ave Ste 610, Everett, WA 98201. The listed phone number is (425) 257-1621.
What is Darlene Sundstrom's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Darlene Sundstrom enrolled in Medicare?
No. Darlene Sundstrom has opted out of Medicare through December 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Darlene Sundstrom was last updated on September 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Darlene M Sundstrom · NPI 1104301076
Mental Health provider in Everett, Washington. Individual provider, active in the CMS NPPES registry since September 26, 2018.
## Identity
- **NPI:** 1104301076 (Entity type: Individual)
- **Enumerated:** September 26, 2018
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 2722 COLBY AVE STE 610, Everett, WA 98201-3534
- **Phone:** (425) 257-1621
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through December 1, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** September 26, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1104301076) · Data from the CMS NPPES public registry.