Active NPI
Monarch Mental Health, LLC
- Community/Behavioral Health Agency
- Coeur d'Alene, ID
National Provider Identifier
1700118999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- LCSW-29101
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807335700 | Medicaid | ID | |
| 807342300 | Medicaid | ID | |
| 807652000 | Medicaid | ID |
National Provider Directory
National Provider DirectoryLocations
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.