JEFFREY SUNDBERG LMHC NPI 1013222678

NPI Information

  • NPI: 1013222678
  • Provider Name: JEFFREY SUNDBERG, LMHC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 915 MIDDLE RIVER DR
    SUITE 317
    FORT LAUDERDALE, FL
    ZIP 33304
  • Phone: (954) 812-6965

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NPI Details

Jeffrey Sundberg, LMHC is a mental health counselor in Fort Lauderdale, FL. Jeffrey Sundberg, LMHC NPI is 1013222678. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

915 MIDDLE RIVER DR
SUITE 317
FORT LAUDERDALE, FL
ZIP 33304-544
Phone: (954) 812-6965

The NPI 1013222678 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/6/2010 and was last updated on 8/6/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorMH 10368FLORIDANo
2101YA0400XCounselorAddiction (Substance Use Disorder)MH 10368FLORIDANo
3101YP2500XCounselorProfessionalMH 10368FLORIDANo
4101YM0800XCounselorMental HealthMH 10368FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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