Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gemba Boise LLC

Organization Professional Counselor · NPI 1891530820

Gemba Boise LLC is a Professional Counselor in Boise, Idaho. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

161 E Mallard Dr Ste 110
Boise, ID 83706-5015
Phone: (208) 830-8697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Clinical Social Worker Taxonomy 1041C0700X
Marriage & Family Therapist Taxonomy 106H00000X
Psychiatry Physician Taxonomy 2084P0800X
Occupational Therapist Taxonomy 225X00000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1891530820
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Damon Zimmerman — Owner · (208) 830-8697
Other names Gemba Boise
NPI enumeratedJuly 1, 2024
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024
Mailing address161 E Mallard Dr Ste 110, Boise, ID 83706-5015

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