Individual provider Active NPI

Rebecca Lynn Boren, LPC

  • Professional Counselor
  • Gladstone, MO
National Provider Identifier
1740042910
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2025046848 Issued in MO
Practice address
104 NE 72ND St Ste G
Gladstone, MO 64118-1830
Phone
(816) 922-9157
NPI assigned
Jan 24, 2024
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2023044072 MO
Professional Counselor 101YP2500X 2025046848 MO Primary

Addresses

Primary practice location

104 NE 72ND St Ste G
Gladstone, MO 64118-1830

Mailing address

104 NE 72ND St Ste G
Gladstone, MO 64118-1830
Phone (816) 922-9157

Other practice location 1

8150 Wornall Rd
Kansas City, MO 64114-5806
Phone (816) 508-3500

Other practice location 2

421 E 137th St
Kansas City, MO 64145-1455
Phone (816) 508-3500 ext. 5

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
2023044072MOMDProfessional Counselor
2025046848MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstones of Care Professional PastSince Feb 9, 2025 Accepting new patients
Gillis Center, Inc. Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1740042910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 NE 72ND ST STE G",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641181830",
            "telephone_number": "816-922-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 NE 72ND ST STE G",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641181830",
            "telephone_number": "816-922-9157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8150 Wornall Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641145806",
            "country_code": "US",
            "telephone_number": "816-508-3500",
            "fax_number": "816-508-3535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 E 137th St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641451455",
            "country_code": "US",
            "telephone_number": "816-508-3500 x5",
            "fax_number": "816-508-3535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOREN",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2023044072",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2025046848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.