MANDY KAY SUN LPCC
NPI 1205403516
Counselor - Professional in Sacramento, CA

Q: What is Mandy Sun's NPI number?

The NPI number for Mandy Sun is 1205403516. It was assigned to this individual provider in the NPPES registry on June 6, 2021.

Q: What is Mandy Sun's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mandy Sun was last updated on May 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 06, 2021PECOS EnrolledAccepts Medicare Assignment

100 HOWE AVE STE 170N, SACRAMENTO, CA 95825(925) 282-1778 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 13, 2024, Aug 16, 2021, Aug 13, 2021 and 1 more (4 updates tracked since 2021).

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About Mandy Kay Sun Lpcc NPPES

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

MANDY KAY SUN LPCC (NPI 1205403516) is an individual professional provider in Sacramento, California, licensed in California (15869) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1205403516

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMANDY KAY SUNCredential: LPCC

Location Address100 HOWE AVE STE 170NSacramento, CA 95825-8241

Mailing Address100 Howe Ave Ste 170nSacramento, CA 95825-8241

Phone(925) 282-1778

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 6, 2021

Last NPPES UpdateMay 13, 20244 updates tracked since enumeration

NPPES CertifiedMay 13, 2024

✔ NPI 1205403516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in CA · 15869

100 HOWE AVE STE 170N, Sacramento, CA 95825

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Secondary Practice Location 1

Location 13626 Balboa StSan Francisco, CA 94121-2604 · Phone (415) 668-5955

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mandy Kay Sun Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577905124

PECOS Enrollment IDI20240528002521

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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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.

KELLY BLAKE

Social Worker (Clinical)