MIKISA ANN BOONE
NPI 1952255994
Counselor - Addiction (Substance Use Disorder) in San Pablo, CA

Active since February 25, 2026
1901 CHURCH LN, SAN PABLO, CA 94806(510) 236-3134 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mikisa Ann Boone NPPES

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

MIKISA ANN BOONE (NPI 1952255994) is an individual addiction (substance use disorder) provider in San Pablo, California, licensed in California (23429) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1952255994
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMIKISA ANN BOONE
Location Address1901 CHURCH LNSan Pablo, CA 94806-3707
Mailing Address1901 Church LnSan Pablo, CA 94806-3707
Sole ProprietorNo
Enumeration DateFebruary 25, 2026
NPPES CertifiedFebruary 25, 2026
NPI 1952255994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CA · 23429
1901 CHURCH LN, San Pablo, CA 94806

Other Providers at the Same Location NPPES 20

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

Counselor (Addiction (Substance Use Disorder))
1901 CHURCH LN
SAN PABLO, CA 94806
Counselor (Addiction (Substance Use Disorder))
1901 CHURCH LN
SAN PABLO, CA 94806
Counselor (Addiction (Substance Use Disorder))
1901 CHURCH LN
SAN PABLO, CA 94806
Substance Abuse Rehabilitation Facility
1901 CHURCH LN
SAN PABLO, CA 94806
Counselor (Addiction (Substance Use Disorder))
1901 CHURCH LN
SAN PABLO, CA 94806
Counselor (Addiction (Substance Use Disorder))
1901 CHURCH LN
SAN PABLO, CA 94806
Counselor (Addiction (Substance Use Disorder))
1901 CHURCH LN
SAN PABLO, CA 94806
Counselor (Addiction (Substance Use Disorder))
1901 CHURCH LN
SAN PABLO, CA 94806

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 Mikisa Boone's NPI number?

The NPI number for Mikisa Boone is 1952255994. It was assigned to this individual provider in the NPPES registry on February 25, 2026.

Where is Mikisa Boone located?

Mikisa Boone practices at 1901 Church Ln, San Pablo, CA 94806. The listed phone number is (510) 236-3134.

What is Mikisa Boone's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mikisa Boone was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.