Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles W Boomer

Individual provider Mental Health Counselor · NPI 1659695153

Charles W Boomer is a Mental Health Counselor in Novato, California. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2

Practice location Address checks out

201 Alameda Del Prado
Novato, CA 94949-6688
Phone: (415) 457-6964
Fax: (415) 491-0915
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1659695153
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 26, 2010
Last updated in NPPESAugust 28, 2023
Certification dateAugust 28, 2023
Mailing address201 Alameda Del Prado Ste 103, Novato, CA 94949-6698

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