JACQUELYN BUFFO
NPI 1104231729
Counselor - Professional in Clinton Township, MI

Active since June 23, 2014PECOS EnrolledAccepts Medicare Assignment
15420 19 MILE RD, CLINTON TOWNSHIP, MI 48038(586) 226-7007 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2024, Jul 28, 2023, Mar 15, 2021 (3 updates tracked since 2021).

About Jacquelyn Buffo NPPES

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

JACQUELYN BUFFO (NPI 1104231729) is an individual professional provider in Clinton Township, Michigan, licensed in Michigan (6401013525) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lake Orion, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1104231729
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACQUELYN BUFFO
Location Address15420 19 MILE RDClinton Township, MI 48038-6339
Mailing Address3079 S Baldwin Rd # 3020Lake Orion, MI 48359-1028 · (586) 464-7432
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJune 23, 2014
Last NPPES UpdateOctober 9, 20243 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
NPI 1104231729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MI · 6401013525
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 6401013525 (MI)
15420 19 MILE RD, Clinton Township, MI 48038

Secondary Practice Location 1

Location 13079 S Baldwin Rd # 3020Lake Orion, MI 48359-1028 · Phone (586) 464-7432

Accepted 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

Jacquelyn Buffo 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 ID9638522832
PECOS Enrollment IDI20240124001008
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 12

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

Psychologist (Clinical)
15420 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Social Worker (Clinical)
15420 19 MILE RD
CLINTON TWP, MI 48038
Psychiatry & Neurology (Child & Adolescent Psychiatry)
15420 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Specialist/Technologist (Athletic Trainer)
15420 19 MILE RD, SUITE 100
CLINTON TOWNSHIP, MI 48038
Social Worker (Clinical)
15420 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Community/Behavioral Health
15420 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Behavior Analyst
15420 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Family Medicine
15420 19 MILE RD, STE. 200
CLINTON TOWNSHIP, MI 48038

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 Jacquelyn Buffo's NPI number?

The NPI number for Jacquelyn Buffo is 1104231729. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Where is Jacquelyn Buffo located?

Jacquelyn Buffo practices at 15420 19 Mile Rd, Clinton Township, MI 48038. The listed phone number is (586) 226-7007.

What is Jacquelyn Buffo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jacquelyn Buffo enrolled in Medicare?

Yes. Jacquelyn Buffo 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.

What insurance does Jacquelyn Buffo accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Jacquelyn Buffo 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 Jacquelyn Buffo was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.