JACQUELINNE SUDARIA LMFT
NPI 1972639581
Marriage & Family Therapist in Camarillo, CA

Q: What is Jacquelinne Sudaria's NPI number?

The NPI number for Jacquelinne Sudaria is 1972639581. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Q: What is Jacquelinne Sudaria's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since February 26, 2007PECOS Enrolled

400 MOBIL AVE., SUITE A1-RC, CAMARILLO, CA 93010(805) 389-4380(805) 389-3246 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 10, 2024, Jan 27, 2016 (2 updates tracked since 2016).

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About Jacquelinne Sudaria Lmft NPPES

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

JACQUELINNE SUDARIA LMFT (NPI 1972639581) is an individual marriage & family therapist in Camarillo, California, licensed in California (51416) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972639581

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJACQUELINNE SUDARIACredential: LMFT

Location Address400 MOBIL AVE., SUITE A1-RCCamarillo, CA 93010-1044

Mailing Address400 Mobil Ave., Suite A1-rcCamarillo, CA 93010-1044 · (805) 389-4380 · Fax (805) 389-3246

Phone(805) 389-4380

Fax(805) 389-3246

Sole ProprietorYes

Enumeration DateFebruary 26, 2007

Last NPPES UpdateJune 10, 20242 updates tracked since enumeration

NPPES CertifiedJune 10, 2024

✔ NPI 1972639581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 51416

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

400 MOBIL AVE., Camarillo, CA 93010

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacquelinne Sudaria Lmft 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.

Medicare Billing Reassignment

Medicare enrollment records show Jacquelinne Sudaria reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Ventura

2.2 mi

Community/Behavioral Health

500 AIRPORT WAY
Camarillo, CA 93010

Reassigned Medicare billing, California enrollment
710 clinicians in this Medicare group

NPI 1316350127 (805) 437-1407

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 Jacquelinne Sudaria's NPI number?

The NPI number for Jacquelinne Sudaria is 1972639581. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Jacquelinne Sudaria located?

Jacquelinne Sudaria practices at 400 Mobil Ave. Suite A1-Rc, Camarillo, CA 93010. The listed phone number is (805) 389-4380.

What is Jacquelinne Sudaria's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jacquelinne Sudaria enrolled in Medicare?

Yes. Jacquelinne Sudaria is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacquelinne Sudaria's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelinne Sudaria reassigns Medicare benefits to County Of Ventura (Camarillo, CA). 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 Jacquelinne Sudaria'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 Jacquelinne Sudaria was last updated on June 10, 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.