Organization Active NPI

Monarch Mental Health, LLC

  • Community/Behavioral Health Agency
  • Coeur d'Alene, ID
National Provider Identifier
1700118999
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LCSW-29101 Issued in ID
Legal business name
MONARCH MENTAL HEALTH, LLC
Practice address
2115 E. Sherman Ave #104
Coeur D 'Alene, ID 83814
Phone
(208) 676-1075
Fax
(208) 676-1245
NPI assigned
Feb 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Authorized official

Name
Mrs. Linda Madree Leonard, LCSW
Title
Ceo
Phone
(208) 676-1075

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X LCSW-29101 ID
Community/Behavioral Health Agency 251S00000X LCSW-29101 ID Primary
Adult Mental Health Clinic/Center 261QM0850X LCSW-29101 ID
Adolescent and Children Mental Health Clinic/Center 261QM0855X LCSW-29101 ID

Addresses

Primary practice location

2115 E. Sherman Ave #104
Coeur D 'Alene, ID 83814

Mailing address

2115 E. Sherman Ave #104
Coeur D 'Alene, ID 83814
Phone (208) 676-1075

Other identifiers 3

IdentifierTypeStateIssuer
807335700MedicaidID
807342300MedicaidID
807652000MedicaidID

National Provider Directory

National Provider Directory

Locations

1105 W Ironwood Dr
Lowr
Coeur D Alene, ID 83814
Phone (208) 392-1777

2115 E Sherman Ave
Ste 104
Coeur D Alene, ID 83814
Phone (208) 676-1075

NPI Registry JSON

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1700118999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 E. SHERMAN AVE #104",
            "city": "COEUR D 'ALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-676-1075",
            "fax_number": "208-676-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 E. SHERMAN AVE #104",
            "city": "COEUR D 'ALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-676-1075",
            "fax_number": "208-676-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-12",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "MADREE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-676-1075",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ID",
            "license": "LCSW-29101",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "LCSW-29101",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "ID",
            "license": "LCSW-29101",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "ID",
            "license": "LCSW-29101",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807335700",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807342300",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807652000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.