Tyra Noell Peone

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8911149 Issued in ID

Practice address

9259 W Stoneham Dr
Boise, ID 83714-6705

Phone

(917) 727-0486

NPI assigned

Jan 18, 2022

Last updated

Mar 24, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Insight Counseling & Therapy

  • Clinical Social Worker
  • Payette, ID
  • NPI 1104350511
  NPD (past)

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1316698624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9259 W STONEHAM DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837146705",
            "telephone_number": "917-727-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9259 W STONEHAM DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837146705",
            "telephone_number": "917-727-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEONE",
        "first_name": "TYRA",
        "middle_name": "NOELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L17498",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "8911149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tnp2119@columbia.edu",
            "affiliation": "N",
            "address_1": "9259 W Stoneham Dr",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837146705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tanya M Penny, OT
• Danielle Pense-Nicholson, FNP
• Ian Penwell, CPM
• Rosemary E. Penwell, LM, CPM
• Vicki Allen Penwell, CPM
• Maria Eugenia Pereda-Torp, MA, LPC, NCC
• Carissa Pereda, M.D.
• Peregrine Physical Therapy LLC (Physical Therapy 180)
• Danae Perez-Cahill, PH.D.
• Crystina Paola Perez, LMSW

• Clinical Social Worker in Boise, ID
• Providers in Boise, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.