Jack Roy Bohanon, MFT
NPI 1508947706ActiveIndividual· Counselor, Mental Health· Palo Alto, CA
Counselor, Mental Health (MFT) in Palo Alto, California, licensed in CA, with an NPI issued in October 2006.
Overview
| NPI | 1508947706 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MFT |
| Sole proprietor | Yes |
| NPI issued | Oct 17, 2006 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | MFC29822 | CA |
| Marriage & Family Therapist | 106H00000X | MFC29822 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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