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MR. JACK ROY BOHANON MFT
NPI 1508947706
Counselor - Mental Health in Palo Alto, CA

Active since October 17, 2006
703 WELCH RD, STE. F6, PALO ALTO, CA 94304(650) 599-2262(650) 625-1551 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jack Roy Bohanon Mft NPPES

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

MR. JACK ROY BOHANON MFT (NPI 1508947706) is an individual mental health provider in Palo Alto, California, licensed in California (MFC29822) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1508947706
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JACK ROY BOHANONCredential: MFT
Location Address703 WELCH RD, STE. F6Palo Alto, CA 94304-1710
Mailing Address123 Gladys AveMountain View, CA 94043-3967 · (650) 599-2262 · Fax (650) 625-1551
Phone(650) 599-2262
Fax(650) 625-1551
Sole ProprietorYes
Enumeration DateOctober 17, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1508947706 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 CA · MFC29822
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License MFC29822 (CA)
703 WELCH RD, Palo Alto, CA 94304
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Other Providers at the Same Location NPPES

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

RON HAMAKO DDS
Dentist (General Practice)
703 WELCH RD, SUITE D2
PALO ALTO, CA 94304
Santa Clara County (650) 321-3959

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 Jack Bohanon's NPI number?

The NPI number for Jack Bohanon is 1508947706. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Jack Bohanon located?

Jack Bohanon practices at 703 Welch Rd Ste. F6, Palo Alto, CA 94304. The listed phone number is (650) 599-2262.

What is Jack Bohanon'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 Jack Bohanon was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.