Individual provider Active NPI

Pennie Jeanine McKay, M.A., L.C.P.C., L.M.

  • Counselor
  • Boise, ID
National Provider Identifier
1326138546
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LCPC-244 Issued in ID
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
259420OtherIDMANAGED HEALTH NETWORK
000010017356OtherIDBLUE SHIELD
Q5779OtherIDBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260604003064 ID Practitioner - Mental Health Counselor 2668943291 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
LCPC-244IDMDCounselor
244IDMDMental Health Counselor
2936IDMDMarriage & 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.

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

Verify at the official NPI Registry.