JUSUP SIANTURI MA, LMHC
NPI 1851154488
Counselor - Mental Health in Elmhurst, NY

Q: What is Jusup Sianturi's NPI number?

The NPI number for Jusup Sianturi is 1851154488. It was assigned to this individual provider in the NPPES registry on February 5, 2024.

Q: What is Jusup Sianturi's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jusup Sianturi was last updated on February 5, 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.

Active since February 05, 2024PECOS Enrolled

8615 BROADWAY APT 9C, ELMHURST, NY 11373(718) 813-0042 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Jusup Sianturi Ma, Lmhc NPPES

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

JUSUP SIANTURI MA, LMHC (NPI 1851154488) is an individual mental health provider in Elmhurst, New York, licensed in New York (014355) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1851154488

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameJUSUP SIANTURICredential: MA, LMHC

Location Address8615 BROADWAY APT 9CElmhurst, NY 11373-5835

Mailing Address8615 Broadway Apt 9cElmhurst, NY 11373-5835

Phone(718) 813-0042

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateFebruary 5, 2024

NPPES CertifiedFebruary 5, 2024

✔ NPI 1851154488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · 014355

8615 BROADWAY APT 9C, Elmhurst, NY 11373

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jusup Sianturi Ma, Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204308901

PECOS Enrollment IDI20260613000187

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 Jusup Sianturi's NPI number?

The NPI number for Jusup Sianturi is 1851154488. It was assigned to this individual provider in the NPPES registry on February 5, 2024.

Where is Jusup Sianturi located?

Jusup Sianturi practices at 8615 Broadway Apt 9C, Elmhurst, NY 11373. The listed phone number is (718) 813-0042.

What is Jusup Sianturi's specialty?

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

Is Jusup Sianturi enrolled in Medicare?

Yes. Jusup Sianturi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jusup Sianturi was last updated on February 5, 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.