Active NPI
Danette Marie Sundberg, MA, LMHC
- Mental Health Counselor
- Redmond, WA
National Provider Identifier
1043480163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00006549
- Practice address
- 16150 NE 85TH St Ste 222
Redmond, WA 98052-3546 - Phone
- (425) 869-6687
- Fax
- (877) 880-4388
- NPI assigned
- Mar 4, 2008
- Last updated
- Mar 4, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH00006549 | WA | Primary |
Addresses
Primary practice location
16150 NE 85TH St Ste 222
Redmond, WA 98052-3546
Mailing address
16150 NE 85TH St Ste 222
Redmond, WA 98052-3546
Phone (425) 869-6687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 30, 2025 through Mar 30, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00006549 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspring Family Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204588800000",
"number": "1043480163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16150 NE 85TH ST STE 222",
"city": "REDMOND",
"state": "WA",
"postal_code": "980523546",
"telephone_number": "425-869-6687",
"fax_number": "877-880-4388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16150 NE 85TH ST STE 222",
"city": "REDMOND",
"state": "WA",
"postal_code": "980523546",
"telephone_number": "425-869-6687",
"fax_number": "877-880-4388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNDBERG",
"first_name": "DANETTE",
"middle_name": "MARIE",
"credential": "MA, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-04",
"last_updated": "2008-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00006549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.