JOHN G. SUDDUTH LPC
NPI 1235956236
Counselor - Professional in Austin, TX

Active since September 23, 2024PECOS Enrolled
502 E HIGHLAND MALL BLVD, AUSTIN, TX 78752(512) 854-5274 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About John G. Sudduth Lpc NPPES

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

JOHN G. SUDDUTH LPC (NPI 1235956236) is an individual professional provider in Austin, Texas, licensed in Texas (85038) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Austin.

NPPES Registry Identity

NPI1235956236
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJOHN G. SUDDUTHCredential: LPC
Location Address502 E HIGHLAND MALL BLVDAustin, TX 78752-3722
Mailing Address7505 Delafield LnAustin, TX 78752-1310 · (940) 206-6879
Sole ProprietorNo
Enumeration DateSeptember 23, 2024
NPPES CertifiedSeptember 23, 2024
✔ NPI 1235956236 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 TX · 85038
502 E HIGHLAND MALL BLVD, Austin, TX 78752

Secondary Practice Location 1

Location 17505 Delafield LnAustin, TX 78752-1310 · Phone (940) 206-6879

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John G. Sudduth Lpc 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.

Medicare Billing Reassignment

Medicare enrollment records show John Sudduth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Home Health
5225 N LAMAR BLVD
Austin, TX 78751
  • Reassigned Medicare billing, Texas enrollment
  • 253 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 John Sudduth's NPI number?

The NPI number for John Sudduth is 1235956236. It was assigned to this individual provider in the NPPES registry on September 23, 2024.

Where is John Sudduth located?

John Sudduth practices at 502 E Highland Mall Blvd, Austin, TX 78752. The listed phone number is (512) 854-5274.

What is John Sudduth's specialty?

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

Is John Sudduth enrolled in Medicare?

Yes. John Sudduth is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Sudduth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Sudduth reassigns Medicare benefits to Austin Travis County Mental Health And Mental Retardation Center (Austin, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Sudduth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Sudduth accept?

Health plans from Oscar Insurance Company list John Sudduth 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 John Sudduth was last updated on September 23, 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.