NPIMap

Organization Active NPI

Boone Family Therapy PLLC

  • Marriage & Family Therapist
  • Boone, NC
National Provider Identifier
1689329138
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
BOONE FAMILY THERAPY PLLC
Practice address
805 State Farm Rd Ste 304
Boone, NC 28607-4914
Phone
(561) 373-0852
NPI assigned
Feb 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Kelly Colleen Boone, MFTNPI 1043784234
Title
Owner
Phone
(828) 719-8509

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

805 State Farm Rd Ste 304
Boone, NC 28607-4914

Mailing address

805 State Farm Rd Ste 304
Boone, NC 28607-4914
Phone (828) 719-8509

Other practice location 1

379 New Market Blvd
Boone, NC 28607-3765
Phone (828) 719-8509

National Provider Directory

National Provider Directory

Locations

379 New Market Blvd
Boone, NC 28607
Phone (828) 260-2444

379 New Market Blvd
Ste 2A
Boone, NC 28607

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1689329138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 STATE FARM RD STE 304",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074914",
            "telephone_number": "828-719-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 STATE FARM RD STE 304",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074914",
            "telephone_number": "561-373-0852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "379 New Market Blvd",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286073765",
            "country_code": "US",
            "telephone_number": "828-719-8509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOONE FAMILY THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-14",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-719-8509",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.