Amanda Renee Sue Boome

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDPT.CO.70010450 Issued in WA

Practice address

614 Peterson Rd
Burlington, WA 98233-2606

Phone

(360) 757-0131

NPI assigned

Jan 6, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Catholic Community Services of Western Washington

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Burlington, WA
  • NPI 1225449929
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1767657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1134086770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 DOLLY LN",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982844362",
            "telephone_number": "360-757-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 PETERSON RD",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982332606",
            "telephone_number": "360-757-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOME",
        "first_name": "AMANDA",
        "middle_name": "RENEE SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CDPT.CO.70010450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Mae Blanco, OD
• Bonnie Blankenship, LMP
• Kelly T Blau
• Andria Anita Bloom, PA-C
• Allyson Elizabeth Bonde
• Chad Booth, D.C.
• Dorothy A Bradshaw
• Diane Brighton, DDS, MSD
• Conchita Brionez
• Brown & Cole Stores LLC

• Addiction (Substance Use Disorder) Counselor in Burlington, WA
• Providers in Burlington, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.