Active NPI
Katherine Morrow Tynes, LCSW LMFT
- Marriage & Family Therapist
- Springfield, MO
National Provider Identifier
1760462923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 300041
- Practice address
- 2021 S Waverly Ave
Suite 700
Springfield, MO 65804 - Phone
- (417) 883-2725
- Fax
- (417) 883-5653
- NPI assigned
- Jan 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 000420 | MO | |
| Marriage & Family Therapist | 106H00000X | 300041 | MO | Primary |
Addresses
Primary practice location
2021 S Waverly Ave
Suite 700
Springfield, MO 65804
Mailing address
1926 S Glenstone Ave
Springfield, MO 65804
Phone (417) 883-2725
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11333682 | Other | CAQH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 300041 | MO | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul W. Iles 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.
-
- Community/Behavioral Health Agency
- Springfield, MO
- NPI 1730449901
-
- Clinic/Center
- Springfield, MO
- NPI 1518284363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1760462923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1926 S GLENSTONE AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "65804",
"telephone_number": "417-883-2725",
"fax_number": "417-883-5653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 S WAVERLY AVE",
"address_2": "SUITE 700",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "65804",
"telephone_number": "417-883-2725",
"fax_number": "417-883-5653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYNES",
"first_name": "KATHERINE",
"middle_name": "MORROW",
"name_prefix": "Ms.",
"credential": "LCSW LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-21",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MO",
"license": "000420",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MO",
"license": "300041",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11333682",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
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.