John David Sundeen, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

156870 Issued in AK

Practice address

3734 Hillside Rd
Ketchikan, AK 99901-5517

Phone

(907) 821-4674

NPI assigned

Mar 25, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/rycalaska/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  AK

  Medicare reassignment NPD
• Sundeen3 Counseling

  • Mental Health Counselor
  • Ketchikan, AK
  • NPI 1801670195
  NPD Authorized official
• Resilient Youth & Community (Ryc)

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ketchikan, AK
  • NPI 1306909197
  NPD (past)
• Resilient Youth & Community (Ryc)

  • Community/Behavioral Health Agency
  • Ketchikan, AK
  • NPI 1336771781
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1306473814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3734 HILLSIDE RD",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015517",
            "telephone_number": "907-821-4674",
            "fax_number": "907-759-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3734 HILLSIDE RD",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015517",
            "telephone_number": "907-821-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDEEN",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC18904",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "156870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles C Suckinaw
• Kirsten Marie Suckinaw
• Robert Dennis Sullivan, LCSW
• Summit Health North LLC
• Houston Sumrall
• Sundeen3 Counseling
• Ricky Dean Swearingen, OD OPTOMETRIST
• Margaret M Sweetman, P.T.
• Tabb Clinical & Consulting Services, LLC
• Jordan Tabb, LCSW

• Mental Health Counselor in Ketchikan, AK
• Providers in Ketchikan, AK by specialty
• Mental Health Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.