MARY JULIA DUNN
NPI 1669221891
Counselor in Loganville, GA

Active since May 20, 2024PECOS Enrolled
299 COOPER RD STE A, LOGANVILLE, GA 30052(678) 243-9118(855) 463-3157 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mary Julia Dunn NPPES

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

MARY JULIA DUNN (NPI 1669221891) is an individual counselor in Loganville, Georgia and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Loganville, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1669221891
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMARY JULIA DUNN
Location Address299 COOPER RD STE ALoganville, GA 30052-2579
Mailing Address3275 Tig Knight RdLoganville, GA 30052-9139 · (678) 756-3709
Fax(855) 463-3157
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 20, 2024
Last NPPES UpdateAugust 10, 2026
NPPES CertifiedAugust 10, 2026
✔ NPI 1669221891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
299 COOPER RD STE A, Loganville, GA 30052

Secondary Practice Location 1

Location 13275 Tig Knight RdLoganville, GA 30052-9139 · Phone (470) 236-1206

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Julia Dunn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890252050
PECOS Enrollment IDI20260806004105
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 Mary Dunn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
299 COOPER RD STE A
Loganville, GA 30052
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group

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 4

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

Counselor (Mental Health)
299 COOPER RD STE A
LOGANVILLE, GA 30052
Social Worker
299 COOPER RD STE A
LOGANVILLE, GA 30052
Community/Behavioral Health
299 COOPER RD STE A
LOGANVILLE, GA 30052
Counselor (Mental Health)
299 COOPER RD STE A
LOGANVILLE, GA 30052

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 Mary Dunn's NPI number?

The NPI number for Mary Dunn is 1669221891. It was assigned to this individual provider in the NPPES registry on May 20, 2024.

Where is Mary Dunn located?

Mary Dunn practices at 299 Cooper Rd Ste A, Loganville, GA 30052. The listed phone number is (678) 243-9118.

What is Mary Dunn's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Mary Dunn enrolled in Medicare?

Yes. Mary Dunn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Dunn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Dunn reassigns Medicare benefits to The Mind Renewed LLC (Loganville, GA). 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 Mary Dunn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Dunn was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.