Active NPI
Mundell Rural Care LLC
- Professional Counselor
- Bovill, ID
National Provider Identifier
1437753233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- MUNDELL RURAL CARE LLC
- Practice address
- 1004 Sanderson Lane
Bovill, ID 83806-0122 - Phone
- (208) 816-3078
- Fax
- (208) 561-8311
- NPI assigned
- Nov 23, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Catherine Mundell
- Title
- Owner/LPC
- Phone
- (208) 816-3078
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1004 Sanderson Lane
Bovill, ID 83806-0122
Mailing address
1004 Sanderson LN # 523
Bovill, ID 83806-0122
Phone (208) 816-3078
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240201002241 | ID | Part B Supplier - Clinic/Group Practice | 8426401894 |
Receives reassigned benefits from 1 practitioner Practice locations: Bovill, ID |
National Provider Directory
National Provider DirectoryLocations
1320 S Blaine St
Ste 9
Moscow, ID 83843
Phone (208) 816-3078
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782432000000",
"number": "1437753233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 SANDERSON LN # 523",
"city": "BOVILL",
"state": "ID",
"postal_code": "838060122",
"telephone_number": "208-816-3078",
"fax_number": "208-561-8311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 SANDERSON LANE",
"city": "BOVILL",
"state": "ID",
"postal_code": "838060122",
"telephone_number": "208-816-3078",
"fax_number": "208-561-8311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUNDELL RURAL CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-23",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A",
"authorized_official_last_name": "MUNDELL",
"authorized_official_first_name": "CATHERINE",
"authorized_official_title_or_position": "OWNER/LPC",
"authorized_official_telephone_number": "208-816-3078"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bovill, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.