NPI age
18 years
Enumerated 2008-03-10
● Active Type 2 · Organization
Subpart
Innercept
Innercept is 1 of 5 community based residential treatment facility, mental illness organizations in Idaho.
Primary specialty
Community Based Residential Treatment Facility, Mental Illness
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Monroe
Cfo
Last NPPES update
2023-05-26
Source: monthly bulk 2026-05
How this organization compares
Across 5 active community based residential treatment facility, mental illness providers in Idaho.
NPI age
18 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-03Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
1115 Ironwood Drive, Suite A
Coeur D Alene, ID 838144936
Mailing address
12424 Wilshire Blvd Suite 800
Los Angeles, CA 90025
Authorized official
Jonathan Mark Monroe, MD
Cfo
📞 9513342233
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Ellen Jaeger, PHD LP Psychologist NPI 1356435614
- Theresa Kennedy, BSW Social Worker NPI 1285728550
- Gary Stanton, PHD Psychologist NPI 1952495228
- Jami Sturges, MPH RD LD Dietitian, Registered NPI 1548357486
- Nathan Taggart, LMSW Social Worker NPI 1225284250
- George Ullrich, MD Psychiatry & Neurology NPI 1881788149
Specialties
-
Community Based Residential Treatment Facility, Mental Illness PrimaryA home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Practice context
Multi-provider organization. 6 individual providers on file at this primary address.
Subpart of Altiorhealthcare.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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