NPIMap

Breanna Marie Zold, MAC

Individual provider Active NPI Mental Health Counselor · Boise, ID

NPI 1225877384 · NPPES record last updated May 1, 2026

Key facts

NPI
1225877384
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
9881601 (ID)
Practice address
950 W Bannock St Ste 1100
Boise, ID 83702-6140
Phone
(323) 205-7088
NPI assigned
May 20, 2024
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
138166IAMDMental Health Counselor
9881601IDMDMental Health Counselor
12167125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberley Welk and Associates, LLC Current
since May 26, 2024		 Accepting new patients

Locations

926 Willard Dr
Ste 136
Green Bay, WI 54304
Phone (920) 460-9301

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9881601 ID Yes
Mental Health Counselor 101YM0800X 138166 IA
Mental Health Counselor 101YM0800X 12167125 WI

Addresses

Primary practice location

950 W Bannock St Ste 1100
Boise, ID 83702-6140

Mailing address

950 W Bannock St Ste 1100
Boise, ID 83702-6140
Phone (323) 205-7088

Other providers in Boise, ID

All providers in Boise, ID · Mental Health Counselor in Idaho

Sources for this page

Verify at the official NPI Registry.