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BRAIN BOMA
NPI 1215322136
Counselor in Bethel, AK

Active since March 30, 2015
835 CHIEF EDDIE HOFFMAN HIGHWAY, BETHEL, AK 99559(907) 543-6552(907) 543-6535 Get Directions Write a Review

NPPES record last updated: March 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brain Boma NPPES

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

BRAIN BOMA (NPI 1215322136) is an individual counselor in Bethel, Alaska and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1215322136
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameBRAIN BOMA
Location Address835 CHIEF EDDIE HOFFMAN HIGHWAYBethel, AK 99559
Mailing AddressPo Box 528, Attn:bh Morgan House ProgramBethel, AK 99559-0528 · (907) 543-6552 · Fax (907) 543-6535
Phone(907) 543-6552
Fax(907) 543-6535
Sole ProprietorNo
Enumeration DateMarch 30, 2015
✔ NPI 1215322136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
835 CHIEF EDDIE HOFFMAN HIGHWAY, Bethel, AK 99559
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Other Identifiers 1

Medicaid1020986AK

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN LIBERTY
Counselor
835 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6552
BRYAN ELLIS WHITE
Counselor
835 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6552
JACOB HUNTER
Counselor
835 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6552
KYLA FERMOYLE
Counselor
835 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Bethel (907) 543-6862

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 Brain Boma's NPI number?

The NPI number for Brain Boma is 1215322136. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Where is Brain Boma located?

Brain Boma practices at 835 Chief Eddie Hoffman Highway, Bethel, AK 99559. The listed phone number is (907) 543-6552.

What is Brain Boma's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Brain Boma was last updated on March 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.