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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.

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

Active since December 07, 2020PECOS EnrolledAccepts Medicare Assignment
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 25, 2026.

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

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
Open in Google Maps ↗

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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Geraldine San Juan-dunford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Irwin Counseling Service PLLC
Same address
Mental Health
300 W WASHINGTON AVE STE 210B
Jackson, MI 49201
  • Reassigned Medicare billing, Michigan enrollment
  • 11 clinicians in this Medicare group
NPI 1164946422 (517) 344-0913

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
300 W WASHINGTON AVE STE 210B
JACKSON, MI 49201
Jackson County (517) 344-0913
LESLEY BICY LPC INTERN
Counselor (Mental Health)
300 W WASHINGTON AVE STE 210B
JACKSON, MI 49201
Jackson County (517) 344-0913
MICHAEL HALLECK LPC
Counselor (Mental Health)
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 (Mental Health)
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 (Mental Health)
300 W WASHINGTON AVE STE 210B
JACKSON, MI 49201
Jackson County (517) 344-0913
CLINT WILLIAM IRWIN MA LPC
Counselor (Mental Health)
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 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.

Where is Geraldine San Juan-dunford located?

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

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.

Is Geraldine San Juan-dunford enrolled in Medicare?

Yes. Geraldine San Juan-dunford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Geraldine San Juan-dunford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Geraldine San Juan-dunford reassigns Medicare benefits to Irwin Counseling Service PLLC (Jackson, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Geraldine San Juan-dunford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Geraldine San Juan-dunford accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Geraldine San Juan-dunford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Geraldine San Juan-dunford was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 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.