Jasper Boomer, LSATP
NPI 1679227623 · Addiction (Substance Use Disorder) Counselor · Chantilly, VA
Jasper Boomer, LSATP is a Addiction (Substance Use Disorder) Counselor provider in Chantilly, VA (NPI 1679227623).
Provider details
- NPI number
- 1679227623
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LSATP
- Sex
- Male
- Sole proprietor
- No
- License
- 0718000456 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Registry dates
- Enumerated
- 2022-02-08
- Last updated
- 2022-02-08
- Certified
- 2022-02-08
Frequently asked questions
- What is Jasper Boomer's NPI number?
- Jasper Boomer's National Provider Identifier (NPI) is 1679227623, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jasper Boomer's specialty?
- Jasper Boomer is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Jasper Boomer located?
- Jasper Boomer's practice location on file with NPPES is 4229 Lafayette Ctr Dr Ste 1675, Chantilly, VA 20151-1270.
- What is Jasper Boomer's phone number?
- The practice phone number listed in the NPPES registry for Jasper Boomer is (855) 326-4673.
- Is Jasper Boomer's NPI active?
- Yes — Jasper Boomer's NPI (1679227623) is active in the NPPES registry as of the last update on 2022-02-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.