Active NPI
Mary Julia Dunn
- Counselor
- Loganville, GA
National Provider Identifier
1669221891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 299 Cooper Rd Ste a
Loganville, GA 30052-2579 - Phone
- (678) 243-9118
- Fax
- (855) 463-3157
- NPI assigned
- May 20, 2024
- Last updated
- Aug 10, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
299 Cooper Rd Ste a
Loganville, GA 30052-2579
Mailing address
3275 Tig Knight Rd
Loganville, GA 30052-9139
Phone (678) 756-3709
Other practice location 1
3275 Tig Knight Rd
Loganville, GA 30052-9139
Phone (470) 236-1206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
299 Cooper Rd
Suite a
Loganville, GA 30052-2579
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Mind Renewed LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Loganville, GA
- NPI 1932616109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1669221891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3275 TIG KNIGHT RD",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300529139",
"telephone_number": "678-756-3709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 COOPER RD STE A",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300522579",
"telephone_number": "678-243-9118",
"fax_number": "855-463-3157"
}
],
"practiceLocations": [
{
"address_1": "3275 Tig Knight Rd",
"address_purpose": "LOCATION",
"city": "Loganville",
"state": "GA",
"postal_code": "300529139",
"country_code": "US",
"telephone_number": "470-236-1206",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUNN",
"first_name": "MARY",
"middle_name": "JULIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-20",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loganville, GA
- Drayer Physical Therapy Institute of Ky PLLC (Drayer Physical Therapy Institute)
- Dualpath Billing and Credentialing Inc
- Dub Enterprises (Hand and Stone Massage and Facial Spa)
- Tammie Dumas-Wilkerson
- Stephanie Dunlap
- Megan Gray Dunning
- Ronald Lawrence Duttlinger Jr.
- Stephen Duvall
- Cecelia Easie
- East Atlanta Caregiving Company LLC (CareCo - The Caregiving Company)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.