Life Development Counselors

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

300047 Issued in MO

Legal business name

LIFE DEVELOPMENT COUNSELORS

Practice address

2021 S Waverly Ave
Suite 500
Springfield, MO 65804-2414

Phone

(417) 889-6764

Fax

(417) 889-6627

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Kathryn Boone, M.S., L.P.C.

Title

Administrator

Phone

(417) 889-6764

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1487718326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 S WAVERLY AVE",
            "address_2": "SUITE 500",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042414",
            "telephone_number": "417-889-6764",
            "fax_number": "417-889-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 S WAVERLY AVE",
            "address_2": "SUITE 500",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042414",
            "telephone_number": "417-889-6764",
            "fax_number": "417-889-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE DEVELOPMENT COUNSELORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "417-889-6764",
        "authorized_official_credential": "M.S., L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "CS 1086",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "300047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.