NPI age
9 years
Enumerated 2016-06-29
● Active Type 2 · Organization
Mental Wellness Clinic Of Coeur D Alene
Mental Wellness Clinic Of Coeur D Alene is 1 of 222 peer specialist organizations in Idaho.
Primary specialty
Peer Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Meeks
Administrator
Last NPPES update
2016-06-29
Source: monthly bulk 2026-05
How this organization compares
Across 222 active peer specialist providers in Idaho.
NPI age
9 years
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-06Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
1105 W Ironwood Dr
Coeur D Alene, ID 838142613
Mailing address
1105 W Ironwood Dr
Coeur D Alene, ID 838142613
Authorized official
Brandi Meeks
Administrator
📞 2089649258
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Kari Crowell-Longman Counselor NPI 1316474745
- Carmen Jeffrey, LMSW Social Worker NPI 1013570936
- Jonathan Zucker, LCSW Social Worker NPI 1982184644
Specialties
-
Peer Specialist PrimaryIndividuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | IDTPID000377 |
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.