Mental Wellness Clinic of Coeur D Alene Inc
NPI 1871713925 · Community/Behavioral Health Agency · Coeur D Alene, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mental Wellness Clinic of Coeur D Alene Inc is a Community/Behavioral Health Agency organization in Coeur D Alene, ID (NPI 1871713925).
Provider details
- NPI number
- 1871713925
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kelly Lagrou, Owner Program Manager(208) 676-1003
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-04-30
- Last updated
- 2025-02-11
- Certified
- 2025-02-11
Frequently asked questions
- What is Mental Wellness Clinic of Coeur D Alene Inc's NPI number?
- Mental Wellness Clinic of Coeur D Alene Inc's National Provider Identifier (NPI) is 1871713925, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mental Wellness Clinic of Coeur D Alene Inc?
- Mental Wellness Clinic of Coeur D Alene Inc is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Mental Wellness Clinic of Coeur D Alene Inc located?
- Mental Wellness Clinic of Coeur D Alene Inc's practice location on file with NPPES is 1105 W Ironwood Dr, Coeur D Alene, ID 83814-2613.
- What is Mental Wellness Clinic of Coeur D Alene Inc's phone number?
- The practice phone number listed in the NPPES registry for Mental Wellness Clinic of Coeur D Alene Inc is (208) 676-1003.
- Does Mental Wellness Clinic of Coeur D Alene Inc accept Medicare?
- Mental Wellness Clinic of Coeur D Alene Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mental Wellness Clinic of Coeur D Alene Inc?
- The authorized official listed on Mental Wellness Clinic of Coeur D Alene Inc's NPPES record is Kelly Lagrou, Owner Program Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mental Wellness Clinic of Coeur D Alene Inc's NPI active?
- Yes — Mental Wellness Clinic of Coeur D Alene Inc's NPI (1871713925) is active in the NPPES registry as of the last update on 2025-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.