IndividualActive
Jack Bohanon, MFT
NPI 1508947706 · Mental Health Counselor · Palo Alto, CA
Provider details
- NPI number
- 1508947706
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MFT
- Sex
- Male
- Sole proprietor
- Yes
- License
- MFC29822 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
703 Welch Rd
Ste. F6
Palo Alto, CA 94304-1710
Phone: (650) 599-2262
Fax: (650) 625-1551
Street-level locationGet directions
Mailing address
123 Gladys Ave
Mountain View, CA 94043-3967
Registry dates
- Enumerated
- 2006-10-17
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.