Jack Roy Bohanon, MFT
Counselor, Mental Health in Palo Alto, CA. Individual provider (NPI-1).
NPI number1508947706
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1508947706
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jack Roy Bohanon
- Credential
- MFT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 17, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | MFC29822 | CA | Yes |
| 106H00000X | Marriage & Family Therapist | MFC29822 | CA |
Practice location
703 Welch RdSte. F6
Palo Alto, CA 94304-1710
Phone 650-599-2262 · Fax 650-625-1551
Mailing address
123 Gladys AveMountain View, CA 94043-3967
Phone 650-599-2262 · Fax 650-625-1551
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Mental Health Counselor providers in Palo Alto, CA
- Sophia Abramson, LCSW, PH.DNPI 1427101484
- Nangeli Abigail Alcantar, LCSWNPI 1649815242
- Jessica Eleanor Arneson, LPCCNPI 1659786234
- Ora BarkanNPI 1235017963
- Virginia Blue, MFTINPI 1174004238
- Tatiana BuchNPI 1003395963
- Amanda Marie CabreraNPI 1366738726
- Bonnie Cardillo, LPCCNPI 1861160780
- Emily CarlNPI 1467122887
- Jeffry Russell Clark, MFCNPI 1174840789
All 80 Mental Health Counselor providers in Palo Alto · All 8,180 providers in Palo Alto
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.