MS. THERESA ANN BOOMER MS
NPI 1205111499
Genetic Counselor, MS in Clancy, MT

Active since October 19, 2011
4 PINE RIDGE CIR, CLANCY, MT 59634(406) 422-0411 Get Directions Write a Review

NPPES record last updated: October 19, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Theresa Ann Boomer Ms NPPES

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

MS. THERESA ANN BOOMER MS (NPI 1205111499) is an individual genetic counselor, ms provider in Clancy, Montana, licensed in Illinois (246.000083) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1205111499
Entity TypeIndividualFemale
Primary Taxonomy170300000X
Provider Legal NameMS. THERESA ANN BOOMERCredential: MS
Location Address4 PINE RIDGE CIRClancy, MT 59634-9760
Mailing Address4 Pine Ridge CirClancy, MT 59634-9760 · (406) 422-0411
Sole ProprietorYes
Enumeration DateOctober 19, 2011
NPI 1205111499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGenetic Counselor, MSOther Service Providers
Taxonomy Code170300000X
Licenses Licensed in IL · 246.000083 Licensed in TN · GC0000000027
Definition

A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states.

4 PINE RIDGE CIR, Clancy, MT 59634

Other Names 1

Former Name (1)Ms. Theresa Ann Hopkins

Other Identifiers 3

Other246.000083IL · Licensed Genetic Counselor
OtherGC0000000027TN · Licensed Genetic Counselor
Other2002038MT · American Board Of Genetic Couneling Certification

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 Theresa Boomer's NPI number?

The NPI number for Theresa Boomer is 1205111499. It was assigned to this individual provider in the NPPES registry on October 19, 2011. The provider is also known as Ms. Theresa Ann Hopkins.

Where is Theresa Boomer located?

Theresa Boomer practices at 4 Pine Ridge Cir, Clancy, MT 59634. The listed phone number is (406) 422-0411.

What is Theresa Boomer's specialty?

The primary specialty registered for this NPI is Genetic Counselor, MS with taxonomy code 170300000X.

When was this NPI record last updated?

The NPPES record for Theresa Boomer was last updated on October 19, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.