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DR. KEVIN JASON KOA GONZALEZ BOAS PHD
NPI 1700031408
Counselor in Salt Lake City, UT

Active since November 21, 2008
1488 E 3045 S, SALT LAKE CITY, UT 84106(385) 228-0556 Get Directions Write a Review

NPPES record last updated: February 17, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kevin Jason Koa Gonzalez Boas Phd NPPES

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

DR. KEVIN JASON KOA GONZALEZ BOAS PHD (NPI 1700031408) is an individual counselor in Salt Lake City, Utah and active in the NPI registry since November 2008.

NPPES Registry Identity

NPI1700031408
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameDR. KEVIN JASON KOA GONZALEZ BOASCredential: PHD
Location Address1488 E 3045 SSalt Lake City, UT 84106-3414
Mailing Address1488 E 3045 SSalt Lake City, UT 84106-3414 · (385) 228-0556
Phone(385) 228-0556
Sole ProprietorNo
Enumeration DateNovember 21, 2008
Last NPPES UpdateFebruary 17, 2017
✔ NPI 1700031408 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.
1488 E 3045 S, Salt Lake City, UT 84106
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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 Kevin Gonzalez Boas's NPI number?

The NPI number for Kevin Gonzalez Boas is 1700031408. It was assigned to this individual provider in the NPPES registry on November 21, 2008.

Where is Kevin Gonzalez Boas located?

Kevin Gonzalez Boas practices at 1488 E 3045 S, Salt Lake City, UT 84106. The listed phone number is (385) 228-0556.

What is Kevin Gonzalez Boas'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 Kevin Gonzalez Boas was last updated on February 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.