Active NPI
Kimberly R Keys, LCPC, CS
- Mental Health Counselor
- Boise, ID
National Provider Identifier
1932247632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5497
- Practice address
- 3050 N Lakeharbor LN Ste 248
Boise, ID 83703-6281 - Phone
- (208) 991-4696
- Fax
- (208) 902-3728
- NPI assigned
- Feb 2, 2007
- 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 | 4754 | ID | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1141008 | ID | |
| Mental Health Counselor | 101YM0800X | 5497 | ID | Primary |
Addresses
Primary practice location
3050 N Lakeharbor LN Ste 248
Boise, ID 83703-6281
Mailing address
3050 N Lakeharbor LN Ste 248
Boise, ID 83703-6281
Phone (208) 991-4696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4754 | ID | MD | Counselor |
| 1141008 | ID | MD | Addiction (Substance Use Disorder) Counselor |
| 5497 | ID | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kim Keys, LLC | Mental Health | Current | Accepting new patients |
Locations
3050 N Lakeharbor Ln
Ste 248
Boise, ID 83703
Phone (208) 991-4696
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": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1932247632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3050 N LAKEHARBOR LN STE 248",
"city": "BOISE",
"state": "ID",
"postal_code": "837036281",
"telephone_number": "208-991-4696",
"fax_number": "208-902-3728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 N LAKEHARBOR LN STE 248",
"city": "BOISE",
"state": "ID",
"postal_code": "837036281",
"telephone_number": "208-991-4696",
"fax_number": "208-902-3728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEYS",
"first_name": "KIMBERLY",
"middle_name": "R",
"credential": "LCPC, CS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ID",
"license": "4754",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ID",
"license": "1141008",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "5497",
"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 Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.