Organization Active NPI

Phyllis McKinley Viviani, LLC

  • Mental Health Counselor
  • Boise, ID
National Provider Identifier
1003766171
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PHYLLIS MCKINLEY VIVIANI, LLC
Practice address
106 N Latah St Ste C
Boise, ID 83706-2624
Phone
(208) 918-2810
NPI assigned
Jan 29, 2026
Last updated
Feb 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Authorized official

Name
Dr. Phyllis McKinley, LPCNPI 1790090918
Title
Owner
Phone
(208) 918-2810

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

106 N Latah St Ste C
Boise, ID 83706-2624

Mailing address

106 N Latah St Ste C
Boise, ID 83706-2624
Phone (208) 918-2810

National Provider Directory

National Provider Directory

Locations

106 N Latah St
Ste C
Boise, ID 83706
Phone (208) 918-2810

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1769644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1003766171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 N LATAH ST STE C",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062624",
            "telephone_number": "208-918-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N LATAH ST STE C",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062624",
            "telephone_number": "208-918-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYLLIS MCKINLEY VIVIANI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-29",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "MCKINLEY",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-918-2810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.