Active NPI
Kelly Loy, LMFT, LCPC
- Professional Counselor
- Boise, ID
National Provider Identifier
1740767284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCPC-8075
- Practice address
- 671 E. Riverpark Lane, Suite 100
Boise, ID 83706 - Phone
- (208) 398-3308
- NPI assigned
- Jul 27, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-6929 | ID | |
| Professional Counselor | 101YP2500X | LPC6929 | ID | |
| Professional Counselor | 101YP2500X | 6929 | ID | |
| Professional Counselor | 101YP2500X | LCPC-8075 | ID | Primary |
Addresses
Primary practice location
671 E. Riverpark Lane, Suite 100
Boise, ID 83706
Mailing address
671 E. Riverpark Lane, Suite 100
Boise, ID 83706
Phone (208) 398-3308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 20, 2024 through Mar 20, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6929 | ID | MD | Professional Counselor |
| LCPC-8075 | ID | MD | Professional Counselor |
| LPC-6929 | ID | MD | Professional Counselor |
| LPC6929 | ID | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712966400000",
"number": "1740767284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "671 E. RIVERPARK LANE, SUITE 100",
"city": "BOISE",
"state": "ID",
"postal_code": "83706",
"telephone_number": "208-398-3308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "671 E. RIVERPARK LANE, SUITE 100",
"city": "BOISE",
"state": "ID",
"postal_code": "83706",
"telephone_number": "208-398-3308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOY",
"first_name": "KELLY",
"credential": "LMFT, LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-27",
"last_updated": "2024-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LPC-6929",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LPC6929",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "6929",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LCPC-8075",
"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 Apr 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.