1. Home
  2. Directory
  3. California
  4. Canyon Country
  5. Counselor
  6. NPI Profile

JEFFREY SUMPOLEC M.A. LPC
NPI 1164569018
Counselor - Professional in Canyon Country, CA

Active since January 31, 2007Opted out of Medicare · through Apr 15, 2028
18333 DOLAN WAY STE 205, CANYON COUNTRY, CA 91387(540) 842-4999 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeffrey Sumpolec M.a. Lpc NPPES

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

JEFFREY SUMPOLEC M.A. LPC (NPI 1164569018) is an individual professional provider in Canyon Country, California, licensed in California (LPCC9308) and active in the NPI registry since January 2007. He has opted out of Medicare through April 15, 2028.

NPPES Registry Identity

NPI1164569018
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJEFFREY SUMPOLECCredential: M.A. LPC
Location Address18333 DOLAN WAY STE 205Canyon Country, CA 91387-5423
Mailing Address18565 Soledad Canyon Rd Ste 302Canyon Country, CA 91351-3700 · (540) 842-4999
Phone(540) 842-4999
Sole ProprietorNo
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJanuary 12, 2024
NPPES CertifiedJanuary 12, 2024
✔ NPI 1164569018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in CA · LPCC9308✔ Licensed in VA · 0701003590
18333 DOLAN WAY STE 205, Canyon Country, CA 91387
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan of North Carolina, Inc, Providence Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jeffrey Sumpolec M.a. Lpc 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 April 15, 2024 through April 15, 2028.

Opt-Out Effective DateApril 15, 2024
Opt-Out In Effect ThroughApril 15, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Sumpolec's NPI number?

The NPI number for Jeffrey Sumpolec is 1164569018. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Jeffrey Sumpolec located?

Jeffrey Sumpolec practices at 18333 Dolan Way Ste 205, Canyon Country, CA 91387. The listed phone number is (540) 842-4999.

What is Jeffrey Sumpolec's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jeffrey Sumpolec enrolled in Medicare?

No. Jeffrey Sumpolec has opted out of Medicare through April 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jeffrey Sumpolec accept?

Health plans from Oscar Health Plan of North Carolina, Inc, Providence Health Plan and UnitedHealthcare list Jeffrey Sumpolec as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffrey Sumpolec was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.