Individual provider Active NPI

Breanna Marie Zold, MAC

  • Mental Health Counselor
  • Boise, ID
National Provider Identifier
1225877384
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9881601 Issued in ID
Practice address
950 W Bannock St Ste 1100
Boise, ID 83702-6140
Phone
(323) 205-7088
NPI assigned
May 20, 2024
Last updated
May 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9881601 ID Primary
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

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

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

Practice roles

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

Locations

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

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": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1225877384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 W BANNOCK ST STE 1100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026140",
            "telephone_number": "323-205-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W BANNOCK ST STE 1100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026140",
            "telephone_number": "323-205-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLD",
        "first_name": "BREANNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "9881601",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "138166",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "12167125",
            "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 May 1, 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.

Verify at the official NPI Registry.