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INNERCEPT
NPI 1003086653
Community Based Residential Treatment Facility, Mental Illness in Coeur D Alene, ID

Active since March 10, 2008CLIA Certified · 6 labs
1115 IRONWOOD DRIVE, SUITE A, COEUR D ALENE, ID 83814(208) 665-7178(208) 765-6972 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Innercept NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNERCEPT (NPI 1003086653) is a healthcare organization registered as a community based residential treatment facility, mental illness in Coeur D Alene, Idaho and active in the NPI registry since March 2008. The organization holds 6 active CLIA laboratory certificates and lists Jonathan Mark Monroe, Cfo, as its authorized official.

NPPES Registry Identity

NPI1003086653
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameINNERCEPT
Location Address1115 IRONWOOD DRIVE, SUITE ACoeur D Alene, ID 83814-4936
Mailing Address12424 Wilshire Blvd Suite 800Los Angeles, CA 90025 · (310) 457-6302 · Fax (310) 457-6318
Phone(208) 665-7178
Fax(208) 765-6972
Organization SubpartYesParent: Altiorhealthcare
Authorized OfficialJonathan Mark MonroeCfo · (951) 334-2233
Enumeration DateMarch 10, 2008
Last NPPES UpdateMay 26, 2023
NPPES CertifiedMay 26, 2023
✔ NPI 1003086653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
1115 IRONWOOD DRIVE, Coeur D Alene, ID 83814
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CLIA Laboratory Certificates CMS CLIA 6

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2344986

Innercept · Athol, ID
Active · expires Jun 2, 2028
CLIA Number13D2344986
Laboratory TypeResident Treatment Center
Certificate Effective DateJune 3, 2026
Certificate Expiration DateJune 2, 2028
Laboratory DirectorSarah E. Stevens
Laboratory Phone(208) 665-7178
Laboratory LocationInnercept35554 North Williams Lane, Athol, ID 83801
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D2301128

Innercept LLC · Athol, ID
Active · expires Mar 20, 2028
CLIA Number13D2301128
Laboratory TypeResidental Treatment Ctr
Certificate Effective DateMarch 21, 2026
Certificate Expiration DateMarch 20, 2028
Laboratory DirectorSarah Stevens
Laboratory Phone(208) 665-7178
Laboratory LocationInnercept LLC27685 N Targhee St, Athol, ID 83801
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D2336248

Innercept LLC · Coeur D'alene, ID
Active · expires Dec 28, 2027
CLIA Number13D2336248
Laboratory TypeResidential Treatment Cen
Certificate Effective DateDecember 29, 2025
Certificate Expiration DateDecember 28, 2027
Laboratory DirectorSarah Stevens
Laboratory Phone(208) 665-7178
Laboratory LocationInnercept LLC880 S Greensferry Road, Coeur D'alene, ID 83814
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D2336250

Innercept LLC · Athol, ID
Active · expires Dec 28, 2027
CLIA Number13D2336250
Laboratory TypeResidential Treatment Cen
Certificate Effective DateDecember 29, 2025
Certificate Expiration DateDecember 28, 2027
Laboratory DirectorSarah Stevens
Laboratory Phone(208) 665-7178
Laboratory LocationInnercept LLC11683 E Whitetail Dr, Athol, ID 83801
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D2290134

Innercept LLC · Coeur D Alene, ID
Active · expires Sep 20, 2027
CLIA Number13D2290134
Laboratory TypeResidental Treatement
Certificate Effective DateSeptember 21, 2025
Certificate Expiration DateSeptember 20, 2027
Laboratory DirectorSarah Stevens
Laboratory Phone(208) 665-7178
Laboratory LocationInnercept LLC6500 North Mineral Dr Ste 206, Coeur D Alene, ID 83815
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D2336245

Innercept LLC · Coeur D'alene, ID
Active · expires Dec 28, 2027
CLIA Number13D2336245
Laboratory TypeResidential Treatment Cen
Certificate Effective DateDecember 29, 2025
Certificate Expiration DateDecember 28, 2027
Laboratory DirectorSarah Stevens
Laboratory Phone(208) 655-7178
Laboratory LocationInnercept LLC5655 East French Gulch Rd, Coeur D'alene, ID 83814
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA HALSTROM LPC
Counselor (Mental Health)
1115 IRONWOOD DRIVE
COEUR D' ALENE, ID 83814
Kootenai County (208) 819-5951
NATHAN TRENT TAGGART LMSW
Social Worker
1115 IRONWOOD DRIVE
COEUR D ALENE, ID 83814
Kootenai County (208) 765-0955
THERESA ANN KENNEDY BSW
Social Worker
1115 IRONWOOD DRIVE
COEUR D ALENE, ID 83814
Kootenai County (208) 765-0955
NORTHWEST PSYCHIATRIC ASSOCIATES PA
Psychiatry & Neurology (Psychiatry)
1115 IRONWOOD DRIVE
COEUR D ALENE, ID 83814
Kootenai County (208) 765-0955
DR. ELLEN LOUISE JAEGER PHD LP
Psychologist
1115 IRONWOOD DRIVE
COEUR D ALENE, ID 83814
Kootenai County (208) 765-0955
JAMI LYNN STURGES MPH RD LD
Dietitian, Registered
1115 IRONWOOD DRIVE
COEUR D ALENE, ID 83814
Kootenai County (208) 765-0955
GEORGE JACKSON ULLRICH MD
Psychiatry & Neurology (Psychiatry)
1115 IRONWOOD DRIVE
COEUR D ALENE, ID 83814
Kootenai County (208) 765-0955
GARY LOUIS STANTON PHD
Psychologist
1115 IRONWOOD DRIVE
COEUR D ALENE, ID 83814
Kootenai County (208) 765-0955

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innercept's NPI number?

The NPI number for Innercept is 1003086653. It was assigned to this organization in the NPPES registry on March 10, 2008.

Where is Innercept located?

Innercept is located at 1115 Ironwood Drive Suite A, Coeur D Alene, ID 83814. The listed phone number is (208) 665-7178.

What is Innercept's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Does Innercept hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Innercept was last updated on May 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.