Individual provider Active NPI

Glenn Paul Boone, M.DIV.

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1922194034
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2075 Issued in LA
Practice address
7600 Burnet Rd Ste 320
Austin, TX 78757-1268
Phone
(512) 451-8818
Fax
(512) 452-0295
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 3157 TX
Professional Counselor 101YP2500X 11288 TX
Professional Counselor 101YP2500X 2139 NC
Professional Counselor 101YP2500X 2075 LA Primary
Marriage & Family Therapist 106H00000X 2683-002737 TX

Addresses

Primary practice location

7600 Burnet Rd Ste 320
Austin, TX 78757-1268

Mailing address

7600 Burnet Rd Ste 320
Austin, TX 78757-1268
Phone (512) 451-8818

Other identifiers 3

IdentifierTypeStateIssuer
3157OtherTXLCDC LICENSE
11288OtherTXLPC LICENSE
2683-002737OtherTXLMFT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2075LAMDProfessional Counselor
2683-002737TXMDMarriage & Family Therapist
11288TXMDGeneral Practice Dentistry
2139NCMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1922194034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 BURNET RD STE 320",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571268",
            "telephone_number": "512-451-8818",
            "fax_number": "512-452-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 BURNET RD STE 320",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571268",
            "telephone_number": "512-451-8818",
            "fax_number": "512-452-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "GLENN",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "M.DIV.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "3157",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "11288",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "2139",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "2075",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "2683-002737",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCDC LICENSE",
            "identifier": "3157",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC LICENSE",
            "identifier": "11288",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFT LICENSE",
            "identifier": "2683-002737",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.