Kristy Lee Boresi, MS, LMFT
Individual provider Active NPI Marriage & Family Therapist · Columbia, MO
NPI 1497091599 · NPPES record last updated Jun 18, 2026
Key facts
- NPI
- 1497091599
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 2012022821 (MO)
- Practice address
- 800 Hospital Dr
Columbia, MO 65201-5275 - Phone
- (573) 814-6000
- NPI assigned
- Dec 17, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012022821 | MO | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2012022821 | MO | Yes |
Addresses
Primary practice location
800 Hospital Dr
Columbia, MO 65201-5275
Mailing address
1613 Olympic Blvd
Columbia, MO 65202-4119
Phone (314) 602-4929
Other practice location 1
3401 Berrywood Dr
Columbia, MO 65201-8372
Phone (573) 777-8330
Other names
- Kristy Lee Watkins
NPI Registry JSON
{
"created_epoch": "1355702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1497091599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1613 OLYMPIC BLVD",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652024119",
"telephone_number": "314-602-4929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 HOSPITAL DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652015275",
"telephone_number": "573-814-6000"
}
],
"practiceLocations": [
{
"address_1": "3401 Berrywood Dr",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652018372",
"country_code": "US",
"telephone_number": "573-777-8330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BORESI",
"first_name": "KRISTY",
"middle_name": "LEE",
"credential": "MS, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-17",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MO",
"license": "2012022821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTY",
"last_name": "WATKINS",
"middle_name": "LEE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbia, MO
- Camille Elise Bordelon
- Christal C Borden
- Meelie Bordoloi
- Charles Michael Borduin
- Marc Alan Borenstein
- Aaron Kenneth Borgmeyer
- Kelli Ziemer Borgmeyer
- Matthew Ryan Borgmeyer
- Jeffrey R Boris
- Alec John Borkowski
All providers in Columbia, MO · Marriage & Family Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.