THERESA ANN BOOMER, MS — NPI 1205111499 (Licensed & Credentialed Genetic Counselor, MS in CLANCY, MT)

CMS-1500 Box 24J / 33a • NPI

1205111499

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

170300000X

Licensed & Credentialed Genetic Counselor, MS

Box 32 Service Location & ZIP+4

4 PINE RIDGE CIR, CLANCY, MT, 59634-9760

✓ 9-Digit EDI 837 ZIP+4 (59634-9760)

Practice Phone & Referral Fax

(406) 422-0411

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1205111499 (THERESA ANN BOOMER, MS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1205111499` (NPI-1 Individual Practitioner)
Provider / Legal Name	THERESA ANN BOOMER, MS
Plain-English Specialty	Licensed & Credentialed Genetic Counselor, MS NUCC Code: `170300000X` (Genetic Counselor, MS)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	4 PINE RIDGE CIR, CLANCY, MT, 59634-9760
Practice Telephone / Fax	Tel: (406) 422-0411
Administrative Mailing Address	4 PINE RIDGE CIR, CLANCY, MT, 59634-9760
Enumeration & Last Sync	Enumerated: 2011-10-19 \| CMS Record Updated: 2011-10-19

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

4 PINE RIDGE CIR, CLANCY, MT, 59634-9760

🗺️ Open in Google Maps 🏥 More Providers in CLANCY

🔒 Are you THERESA ANN BOOMER, MS? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (170300000X)

What Does Taxonomy Code 170300000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 170300000X translates to:
"Licensed & Credentialed Genetic Counselor, MS"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Genetic Counselor, MS for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (THERESA ANN BOOMER, MS)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`170300000X` — Genetic Counselor, MS Plain English: Licensed & Credentialed Genetic Counselor, MS	State: IL \| License: `246.000083` \| Primary: Yes (Primary)
`170300000X` — Genetic Counselor, MS Plain English: Licensed & Credentialed Genetic Counselor, MS	State: TN \| License: `GC0000000027` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

THERESA ANN BOOMER, MS (NPI #1205111499)