IndividualActive
Samuel Bommarito, INTERN
NPI 1003776238 · Counselor · Jackson, MI
Samuel Bommarito, INTERN is a Counselor provider in Jackson, MI (NPI 1003776238).
Provider details
- NPI number
- 1003776238
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- INTERN
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
300 W Washington Ave Ste 210b
Jackson, MI 49201-2160
Phone: (517) 344-0913
Fax: (517) 905-6007
Street-level locationGet directions
Mailing address
300 W Washington Ave Ste 210b
Jackson, MI 49201-2160
Registry dates
- Enumerated
- 2025-11-11
- Last updated
- 2025-11-11
- Certified
- 2025-11-11
Frequently asked questions
- What is Samuel Bommarito's NPI number?
- Samuel Bommarito's National Provider Identifier (NPI) is 1003776238, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Bommarito's specialty?
- Samuel Bommarito is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Samuel Bommarito located?
- Samuel Bommarito's practice location on file with NPPES is 300 W Washington Ave Ste 210b, Jackson, MI 49201-2160.
- What is Samuel Bommarito's phone number?
- The practice phone number listed in the NPPES registry for Samuel Bommarito is (517) 344-0913.
- Is Samuel Bommarito's NPI active?
- Yes — Samuel Bommarito's NPI (1003776238) is active in the NPPES registry as of the last update on 2025-11-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.