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IRON ROOTS RECOVERY & MENTAL WELLNESS, LLC
NPI 1104626944
Clinic/Center - Mental Health (Including Community Mental Health Center) in Coeur D Alene, ID

Active since March 18, 2025
2025 W PARK PL STE 105, COEUR D ALENE, ID 83814(208) 659-2049(208) 719-7952 Get Directions Write a Review

NPPES record last updated: June 27, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 13, 2025, Mar 18, 2025 (2 updates tracked since 2025).

About Iron Roots Recovery & Mental Wellness, Llc NPPES

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

IRON ROOTS RECOVERY & MENTAL WELLNESS, LLC (NPI 1104626944), doing business as Iron Roots Recovery & Mental Wellness, is a healthcare organization registered as a mental health (including community mental health center) in Coeur D Alene, Idaho and active in the NPI registry since March 2025. The organization lists Jennifer Marie Mayberry, Owner, as its authorized official.

NPPES Registry Identity

NPI1104626944
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameIRON ROOTS RECOVERY & MENTAL WELLNESS, LLC
Location Address2025 W PARK PL STE 105Coeur D Alene, ID 83814-2787
Mailing Address2025 W Park Pl Ste 105Coeur D Alene, ID 83814-2787 · (208) 771-7013 · Fax (208) 719-7952
Phone(208) 659-2049
Fax(208) 719-7952
Organization SubpartNo
Authorized OfficialJennifer Marie MayberryOwner · (208) 771-7013
Enumeration DateMarch 18, 2025
Last NPPES UpdateJune 27, 20262 updates tracked since enumeration
NPPES CertifiedJune 27, 2026
✔ NPI 1104626944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
2025 W PARK PL STE 105, Coeur D Alene, ID 83814
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Other Names 1

Doing Business AsIron Roots Recovery & Mental Wellness

Other Providers at the Same Location NPPES 2

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

MRS. JENNIFER MARIE MAYBERRY L.M.S.W.
Counselor (Mental Health)
2025 W PARK PL STE 105
COEUR D ALENE, ID 83814
Kootenai County (208) 274-3267
CAROL JEAN BAKER
Counselor (Mental Health)
2025 W PARK PL STE 105
COEUR D ALENE, ID 83814
Kootenai County (208) 771-7013

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 Iron Roots Recovery & Mental Wellness, LLC's NPI number?

The NPI number for Iron Roots Recovery & Mental Wellness, LLC is 1104626944. It was assigned to this organization in the NPPES registry on March 18, 2025. The provider is doing business as Iron Roots Recovery & Mental Wellness.

Where is Iron Roots Recovery & Mental Wellness, LLC located?

Iron Roots Recovery & Mental Wellness, LLC is located at 2025 W Park Pl Ste 105, Coeur D Alene, ID 83814. The listed phone number is (208) 659-2049.

What is Iron Roots Recovery & Mental Wellness, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Iron Roots Recovery & Mental Wellness, LLC was last updated on June 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.