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: July 26, 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, maintains a secondary practice location in Austin, and is a graduate of Other (2019).

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
Medical School CMSOtherGraduated 2019
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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John G. Sudduth Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719491414
PECOS Enrollment IDI20250707000615
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.

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.

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 with the weekly NPPES data releases published by CMS.