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

GERALDINE SAN JUAN-DUNFORD MA LPC
NPI 1073119988
Counselor - Mental Health in Jackson, MI

Q: What is Geraldine San Juan-dunford's NPI number?

The NPI number for Geraldine San Juan-dunford is 1073119988. It was assigned to this individual provider in the NPPES registry on December 7, 2020.

Q: What is Geraldine San Juan-dunford's specialty?

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

Active since December 07, 2020PECOS Enrolled

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 25, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 25, 2026, Jun 20, 2025, Dec 7, 2020 (3 updates tracked since 2020).

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About Geraldine San Juan-dunford Ma Lpc NPPES

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

GERALDINE SAN JUAN-DUNFORD MA LPC (NPI 1073119988) is an individual mental health provider in Jackson, Michigan, licensed in Michigan (6401223860) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1073119988

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameGERALDINE SAN JUAN-DUNFORDCredential: MA LPC

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

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 7, 2020

Last NPPES UpdateSeptember 25, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2026

✔ NPI 1073119988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MI · 6401223860

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Geraldine San Juan-dunford Ma Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244680908

PECOS Enrollment IDI20231221002334

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 15

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

SAMUEL BOMMARITO LLPC

Counselor (Mental Health)