RANDALL D BOEN MS, CRC, LCPC
NPI 1073090122
Counselor - Mental Health in Anna, IL

Q: What is Randall Boen's NPI number?

The NPI number for Randall Boen is 1073090122. It was assigned to this individual provider in the NPPES registry on July 22, 2018.

Q: What is Randall Boen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Randall Boen was last updated on January 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since July 22, 2018

204A SOUTH ST, ANNA, IL 62906(618) 833-0599 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 31, 2023, Jul 22, 2018 (2 updates tracked since 2018).

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About Randall D Boen Ms, Crc, Lcpc NPPES

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

RANDALL D BOEN MS, CRC, LCPC (NPI 1073090122) is an individual mental health provider in Anna, Illinois, licensed in Illinois (180.011527) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1073090122

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameRANDALL D BOENCredential: MS, CRC, LCPC

Location Address204A SOUTH STAnna, IL 62906-1549

Mailing Address204 South StAnna, IL 62906-1549

Phone(618) 833-0599

Sole ProprietorYes

Enumeration DateJuly 22, 2018

Last NPPES UpdateJanuary 31, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 31, 2023

✔ NPI 1073090122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in IL · 180.011527

Also ListedRehabilitation CounselorTaxonomy 225C00000X

204A SOUTH ST, Anna, IL 62906

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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 Randall Boen's NPI number?

The NPI number for Randall Boen is 1073090122. It was assigned to this individual provider in the NPPES registry on July 22, 2018.

Where is Randall Boen located?

Randall Boen practices at 204A South St, Anna, IL 62906. The listed phone number is (618) 833-0599.

What is Randall Boen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Randall Boen was last updated on January 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.