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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMUEL BOMMARITO LLPC
NPI 1003776238
Counselor - Mental Health in Jackson, MI

Active since November 11, 2025
300 W WASHINGTON AVE STE 210B, JACKSON, MI 49201(517) 344-0913(517) 905-6007 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 18, 2026, Nov 11, 2025 (2 updates tracked since 2025).

About Samuel Bommarito Llpc NPPES

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

SAMUEL BOMMARITO LLPC (NPI 1003776238) is an individual mental health provider in Jackson, Michigan and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1003776238
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSAMUEL BOMMARITOCredential: LLPC
Location Address300 W WASHINGTON AVE STE 210BJackson, MI 49201-2160
Mailing Address300 W Washington Ave Ste 210bJackson, MI 49201-2160 · (517) 344-0913 · Fax (517) 905-6007
Phone(517) 344-0913
Fax(517) 905-6007
Sole ProprietorYes
Enumeration DateNovember 11, 2025
Last NPPES UpdateSeptember 18, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1003776238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
300 W WASHINGTON AVE STE 210B, Jackson, MI 49201
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GERALDINE SAN JUAN-DUNFORD MA LPC
Counselor (Professional)
300 W WASHINGTON AVE STE 210B
JACKSON, MI 49201
Jackson County (517) 344-0913
LESLEY BICY LPC INTERN
Counselor
300 W WASHINGTON AVE STE 210B
JACKSON, MI 49201
Jackson County (517) 344-0913
CATHERINE UPHAM LLMSW
Social Worker (Clinical)
300 W WASHINGTON AVE STE 210B
JACKSON, MI 49201
Jackson County (517) 344-0913
MICHAEL HALLECK LPC
Counselor
300 W WASHINGTON AVE STE 210B
JACKSON, MI 49201
Jackson County (517) 344-0913
IRWIN COUNSELING SERVICE PLLC
Counselor (Mental Health)
300 W WASHINGTON AVE STE 210B
JACKSON, MI 49201
Jackson County (517) 344-0913
REBEKKA BOMMARITO LPC
Counselor
300 W WASHINGTON AVE STE 210B
JACKSON, MI 49201
Jackson County (517) 344-0913
SCOTT DAVID STARK LPC
Counselor (Mental Health)
300 W WASHINGTON AVE STE 210B
JACKSON, MI 49201
Jackson County (517) 344-0913
LINSAY WYKOFF LPC
Counselor
300 W WASHINGTON AVE STE 210B
JACKSON, MI 49201
Jackson County (517) 344-0913

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 Samuel Bommarito's NPI number?

The NPI number for Samuel Bommarito is 1003776238. It was assigned to this individual provider in the NPPES registry on November 11, 2025.

Where is Samuel Bommarito located?

Samuel Bommarito practices at 300 W Washington Ave Ste 210B, Jackson, MI 49201. The listed phone number is (517) 344-0913.

What is Samuel Bommarito's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Samuel Bommarito was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.