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JOHN DAVID SUNDEEN MA
NPI 1306473814
Counselor - Mental Health in Ketchikan, AK

Active since March 25, 2020PECOS Enrolled
3734 HILLSIDE RD, KETCHIKAN, AK 99901(907) 821-4674 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2025, Apr 6, 2025, Aug 16, 2023 and 1 more (4 updates tracked since 2020).

About John David Sundeen Ma NPPES

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

JOHN DAVID SUNDEEN MA (NPI 1306473814) is an individual mental health provider in Ketchikan, Alaska, licensed in Alaska (156870) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306473814
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJOHN DAVID SUNDEENCredential: MA
Location Address3734 HILLSIDE RDKetchikan, AK 99901-5517
Mailing Address3734 Hillside RdKetchikan, AK 99901-5517 · (907) 821-4674 · Fax (907) 759-7213
Phone(907) 821-4674
Sole ProprietorNo
Enumeration DateMarch 25, 2020
Last NPPES UpdateOctober 7, 20254 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
✔ NPI 1306473814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in AK · 156870✔ Licensed in CA · LPCC18904
3734 HILLSIDE RD, Ketchikan, AK 99901
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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 David Sundeen Ma 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUNDEEN3 COUNSELING
Counselor (Mental Health)
3734 HILLSIDE RD
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 531-5820

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 Sundeen's NPI number?

The NPI number for John Sundeen is 1306473814. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is John Sundeen located?

John Sundeen practices at 3734 Hillside Rd, Ketchikan, AK 99901. The listed phone number is (907) 821-4674.

What is John Sundeen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is John Sundeen enrolled in Medicare?

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

What insurance does John Sundeen accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list John Sundeen 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 Sundeen was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.