Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KYLEA SKYE SUNDBERG
NPI 1750064010
Counselor - Professional in Portland, OR

Active since August 11, 2023
12636 SE STARK ST STE 125, PORTLAND, OR 97233(503) 238-0769 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 9, 2026, Aug 11, 2023 (2 updates tracked since 2023).

About Kylea Skye Sundberg NPPES

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

KYLEA SKYE SUNDBERG (NPI 1750064010) is an individual professional provider in Portland, Oregon, licensed in Oregon (R11816) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1750064010
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKYLEA SKYE SUNDBERG
Location Address12636 SE STARK ST STE 125Portland, OR 97233-1058
Mailing AddressPo Box 8459Portland, OR 97207-8459
Sole ProprietorNo
Enumeration DateAugust 11, 2023
Last NPPES UpdateSeptember 9, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2026
✔ NPI 1750064010 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 OR · R11816
12636 SE STARK ST STE 125, Portland, OR 97233

Other Names 1

Former Name (1)Kylea Schmidt

Other Providers at the Same Location NPPES

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

Marriage & Family Therapist
12636 SE STARK ST STE 125
PORTLAND, OR 97233

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 Kylea Sundberg's NPI number?

The NPI number for Kylea Sundberg is 1750064010. It was assigned to this individual provider in the NPPES registry on August 11, 2023. The provider is also known as Kylea Schmidt.

Where is Kylea Sundberg located?

Kylea Sundberg practices at 12636 SE Stark St Ste 125, Portland, OR 97233. The listed phone number is (503) 238-0769.

What is Kylea Sundberg's specialty?

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

When was this NPI record last updated?

The NPPES record for Kylea Sundberg was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.