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GEMBA BOISE LLC
NPI 1891530820
Counselor - Professional in Boise, ID

Active since July 01, 2024
161 E MALLARD DR STE 110, BOISE, ID 83706(208) 830-8697 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gemba Boise Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEMBA BOISE LLC (NPI 1891530820), doing business as Gemba Boise, is a healthcare organization registered as a professional in Boise, Idaho and active in the NPI registry since July 2024. The organization lists Damon Bernard Zimmerman, Owner, as its authorized official.

NPPES Registry Identity

NPI1891530820
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameGEMBA BOISE LLC
Location Address161 E MALLARD DR STE 110Boise, ID 83706-5015
Mailing Address161 E Mallard Dr Ste 110Boise, ID 83706-5015 · (208) 830-8697
Phone(208) 830-8697
Organization SubpartNo
Authorized OfficialDamon Bernard ZimmermanOwner · (208) 830-8697
Enumeration DateJuly 1, 2024
NPPES CertifiedJuly 1, 2024
✔ NPI 1891530820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
161 E MALLARD DR STE 110, Boise, ID 83706
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Other Names 1

Doing Business AsGemba Boise

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gemba Boise LLC's NPI number?

The NPI number for Gemba Boise LLC is 1891530820. It was assigned to this organization in the NPPES registry on July 1, 2024. The provider is doing business as Gemba Boise.

Where is Gemba Boise LLC located?

Gemba Boise LLC is located at 161 E Mallard Dr Ste 110, Boise, ID 83706. The listed phone number is (208) 830-8697.

What is Gemba Boise LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Gemba Boise LLC was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.