IRON ROOTS RECOVERY & MENTAL WELLNESS, LLC
NPI 1104626944
Clinic/Center - Mental Health (Including Community Mental Health Center) in Coeur D Alene, ID
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
Specialties & Licenses 5
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Iron Roots Recovery & Mental Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Iron Roots Recovery & Mental Wellness, LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Iron Roots Recovery & Mental Wellness, LLC enrolled in Medicare?
Yes. Iron Roots Recovery & Mental Wellness, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Iron Roots Recovery & Mental Wellness, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Iron Roots Recovery & Mental Wellness, LLC, in Clinical Social Worker and Mental Health Counselor. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Iron Roots Recovery & Mental Wellness, LLC accept?
Health plans from Ambetter Health, Moda Health Plan, Inc. and Molina Healthcare list Iron Roots Recovery & Mental Wellness, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 4 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.
# Iron Roots Recovery & Mental Wellness, Llc · NPI 1104626944
Mental Health (Including Community Mental Health Center) organization in Coeur D Alene, Idaho. Organization record, active in the CMS NPPES registry since March 18, 2025.
## Identity
- **NPI:** 1104626944 (Entity type: Organization)
- **Enumerated:** March 18, 2025
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Also known as:** Iron Roots Recovery & Mental Wellness (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jennifer Mayberry, OWNER
## Practice location
- **Address:** 2025 W PARK PL STE 105, Coeur D Alene, ID 83814-2787
- **Phone:** (208) 659-2049 · **Fax:** (208) 719-7952
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (2), Mental Health Counselor (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104626944) · Data from the CMS NPPES public registry.