JUSUP SIANTURI MA, LMHC
NPI 1851154488
Counselor - Mental Health in Elmhurst, NY
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jusup Sianturi Ma, Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jusup Sianturi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bethesda, MD 20814
- Reassigned Medicare billing, New York enrollment
- 43 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 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.
Which organization bills Medicare for Jusup Sianturi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jusup Sianturi reassigns Medicare benefits to Uplift Behavioral Health PC (Bethesda, MD). 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 Jusup Sianturi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Jusup Sianturi, MA, LMHC · NPI 1851154488
Mental Health provider in Elmhurst, New York. Individual provider, active in the CMS NPPES registry since February 5, 2024.
## Identity
- **NPI:** 1851154488 (Entity type: Individual)
- **Enumerated:** February 5, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 014355 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8615 BROADWAY APT 9C, Elmhurst, NY 11373-5835
- **Phone:** (718) 813-0042
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Uplift Behavioral Health PC (NPI 1629740410, Bethesda, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** February 5, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1851154488) · Data from the CMS NPPES public registry.