Active NPI
Pennie Jeanine McKay, M.A., L.C.P.C., L.M.
- Counselor
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LCPC-244
- Practice address
- 300 S 23Rd St
Boise, ID 83702-9100 - Phone
- (208) 344-3512
- Fax
- (208) 466-5359
- NPI assigned
- Oct 16, 2006
- Last updated
- May 21, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LCPC-244 | ID | Primary |
| Mental Health Counselor | 101YM0800X | 244 | ID | |
| Marriage & Family Therapist | 106H00000X | 2936 | ID |
Addresses
Primary practice location
300 S 23Rd St
Boise, ID 83702-9100
Mailing address
PO Box 9
Nampa, ID 83653-0009
Phone (208) 721-5140
Other practice location 1
1674 Hill Rd
Suite #7
Boise, ID 83702-0958
Phone (208) 345-1552
Other practice location 2
1412 W Washington St
Boise, ID 83702-5038
Phone (208) 345-1552
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 259420 | Other | ID | MANAGED HEALTH NETWORK |
| 000010017356 | Other | ID | BLUE SHIELD |
| Q5779 | Other | ID | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1987
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
211 16TH Ave N
Nampa, ID 83687-4058
PO Box
Suite 9
Nampa, ID 83653
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC-244 | ID | MD | Counselor |
| 244 | ID | MD | Mental Health Counselor |
| 2936 | ID | MD | Marriage & Family Therapist |
Organizations & group practices 1
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.
-
dba Terry Reilly Health Services
- Federally Qualified Health Center (FQHC)
- Nampa, ID
- NPI 1457309122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1326138546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9",
"city": "NAMPA",
"state": "ID",
"postal_code": "836530009",
"telephone_number": "208-721-5140",
"fax_number": "208-467-3391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S 23RD ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837029100",
"telephone_number": "208-344-3512",
"fax_number": "208-466-5359"
}
],
"practiceLocations": [
{
"address_1": "1674 Hill Rd",
"address_2": "Suite #7",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837020958",
"country_code": "US",
"telephone_number": "208-345-1552",
"fax_number": "208-345-1552",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1412 W Washington St",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837025038",
"country_code": "US",
"telephone_number": "208-345-1552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKAY",
"first_name": "PENNIE",
"middle_name": "JEANINE",
"name_prefix": "Ms.",
"credential": "M.A., L.C.P.C., L.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ID",
"license": "LCPC-244",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "244",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "ID",
"license": "2936",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "259420",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000010017356",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "Q5779",
"state": "ID"
}
],
"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 May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.