Laura Mundy, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-4770 Issued in ID

Practice address

1524 W Hays Street Suite #201
Boise, ID 83702-4048

Phone

(208) 953-1489

NPI assigned

May 23, 2022

Last updated

Jan 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1548908254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 W HAYS ST SUITE # 201",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024048",
            "telephone_number": "208-953-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 W HAYS STREET SUITE #201",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024048",
            "telephone_number": "208-953-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDY",
        "first_name": "LAURA",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-4770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "crookedtrailscounseling.com",
            "affiliation": "N",
            "endpointDescription": "website that can connect to simple practice EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2214 N 29th St",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837035614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karen Mullins
• Caroline Grace Mullis, LCSW
• Tesia Multanski, RN
• John Howell Mumford, D.M.D.
• Aziz George Munayirji, MD
• Jordan Ari-Roger Munger
• Lisa A Munger, CRNA, MAE
• Devan Michael Munk, DMD
• Stacia S Munn, MD
• Cedric Munoz, M.D.

• Professional Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.