Active NPI
Amy McKenzie, LCPC, ACADC
- Professional Counselor
- Boise, ID
National Provider Identifier
1972165546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCPC-8324
- Practice address
- 12553 W Explorer Dr Ste 190
Boise, ID 83713-1612 - Phone
- (208) 376-7083
- NPI assigned
- Jul 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LCPC-8324 | ID | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X |
Addresses
Primary practice location
12553 W Explorer Dr Ste 190
Boise, ID 83713-1612
Mailing address
12553 W Explorer Dr Ste 190
Boise, ID 83713-1612
Phone (208) 376-7083
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 |
|---|---|---|---|
| LCPC-8324 | ID | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Otterly Resilient Counseling, LLC | Counselor | Current | Accepting new patients |
| Trivium Life Services Mountain West, LLC | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Counselor
- Boise, ID
- NPI 1437946761
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Boise, ID
- NPI 1194962829
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1972165546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12553 W EXPLORER DR STE 190",
"city": "BOISE",
"state": "ID",
"postal_code": "837131612",
"telephone_number": "208-376-7083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12553 W EXPLORER DR STE 190",
"city": "BOISE",
"state": "ID",
"postal_code": "837131612",
"telephone_number": "208-376-7083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENZIE",
"first_name": "AMY",
"credential": "LCPC, ACADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-03",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LCPC-8324",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
}
],
"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 Mar 23, 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.