Justin Jay Sunseri, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

99147 Issued in CA

Practice address

1930 Tienda Dr Ste 102
Lodi, CA 95242-3934

Phone

(209) 425-1434

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• 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

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846
  Medicare reassignment NPD

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1821159583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 TIENDA DR STE 102",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423934",
            "telephone_number": "209-425-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 TIENDA DR STE 102",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423934",
            "telephone_number": "209-425-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNSERI",
        "first_name": "JUSTIN",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "99147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Irving Stroh, DPM
• Janeen A Suess, LCSW
• Laura Suess, RN
• Sam Nazih Suliman, D.D.S, MDS
• Marietta Abellera Sumaquial, M.D.
• Sutter Gould Medical Foundation
• Sutter Gould Medical Foundation
• Sutter Gould Medical Foundation
• Sutter Valley Medical Foundation
• Robert Eugene Sutter, D.D.S.,M.S.

• Marriage & Family Therapist in Lodi, CA
• Providers in Lodi, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.