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NPI 1366827255
● Active Type 2 · Organization
Riverside Recovery Llc
Counselor · Lewiston, ID · NPI 1366827255
·
Enumerated 2015 · 10 years on NPI
Riverside Recovery Llc is 1 of 266 counselor organizations in Idaho.
NPI age
10 years
Enumerated 2015-07-21
Primary specialty
Counselor
Plus 3 secondary
Practice locations
3
2 secondary on file
Status
Active
No deactivations on record
Authorized official
Bennett
Owner
Last NPPES update
2025-12-16
Source: monthly bulk 2026-05
How this organization compares
Across 266 active counselor providers in Idaho.
NPI age
10 years
≈ at median (9 yr)
Practice locations
3
2 secondary on file
Subspecialties
3
In the 17% of peers with subspecialties
NPI lifetime · 2015 → 2026
2015-07 Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
1720 18th Ave
Lewiston, ID 835014047
📞 2087464097 fax 2087462294
Mailing address
1720 18th Ave
Lewiston, ID 835014047
📞 2087464097 fax 2087462294
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
1708 18th Ave
Lewiston, ID 835014047
📞 2087464097 fax 2087462294
Location 3
155 Main Street, Unit #3
Orofino, ID 83544
📞 2087464097 x20874
Authorized official
Sara Light Bennett
Owner
📞 2087464097
Individual providers at this organization
17 individual providers on file at this primary practice address.
Randall Bennett
Case Manager/Care Coordinator
NPI 1194547422
Sara Bennett , LCPC
Counselor
NPI 1093155566
Brittany Campbell
Peer Specialist
NPI 1891511390
Cynthia Ford , CPRC
Peer Specialist
NPI 1417710096
Brianna Guier , LMSW
Social Worker
NPI 1740806330
James Gump , BS, CADC
Counselor
NPI 1205699709
Amanda Hall
Counselor
NPI 1144041658
Christine Jensen , MPS,BS,AS
Case Manager/Care Coordinator
NPI 1275401929
Richard Lang
Peer Specialist
NPI 1881457596
Tammy Lish-Watson
Social Worker
NPI 1417434689
Malcom Lyons
Peer Specialist
NPI 1396567954
Amil Mitchell
Case Manager/Care Coordinator
NPI 1407678741
Kimberly Neely , LMSW
Social Worker
NPI 1497386585
Jessi Noah
Peer Specialist
NPI 1295550218
Leanne Parker , PHD
Psychologist
NPI 1326671454
Anthony Tenny , CADC
Counselor
NPI 1013775162
James Waham , PCPRC
Counselor
NPI 1598602062
Specialties
Counselor
Primary
Definition to come...
ID license #LCPC-2714 taxonomy 101YA0400X
Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals...
taxonomy 251S00000X
Counselor
Definition to come...
ID license #LCPC-5714 taxonomy 101YM0800X
Social Worker
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and...
taxonomy 104100000X
Practice context
Multi-provider organization.
17 individual providers on file at this primary address.
Plus 2 secondary practice locations.
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How to verify this organization
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.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.