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RIVERSIDE RECOVERY LLC
NPI 1366827255
Counselor - Addiction (Substance Use Disorder) in Lewiston, ID

Active since July 21, 2015CLIA Certified · 2 labs
1720 18TH AVE, LEWISTON, ID 83501(208) 746-4097(208) 746-2294 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Riverside Recovery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVERSIDE RECOVERY LLC (NPI 1366827255) is a healthcare organization registered as an addiction (substance use disorder) in Lewiston, Idaho and active in the NPI registry since July 2015. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Sara Light Bennett, Owner, as its authorized official.

NPPES Registry Identity

NPI1366827255
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameRIVERSIDE RECOVERY LLC
Location Address1720 18TH AVELewiston, ID 83501-4047
Mailing Address1720 18th AveLewiston, ID 83501-4047 · (208) 746-4097 · Fax (208) 746-2294
Phone(208) 746-4097
Fax(208) 746-2294
Organization SubpartNo
Authorized OfficialSara Light BennettOwner · (208) 746-4097
Enumeration DateJuly 21, 2015
Last NPPES UpdateDecember 16, 2025
NPPES CertifiedDecember 16, 2025
✔ NPI 1366827255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in ID · LCPC-2714
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LCPC-5714 (ID)
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
1720 18TH AVE, Lewiston, ID 83501
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1155 Main Street, Unit #3Orofino, ID 83544 · Phone (208) 746-4097 ext. 20874
Location 21708 18th AveLewiston, ID 83501-4047 · Phone (208) 746-4097 · Fax (208) 746-2294

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2346447

Riverside Recovery LLC · Lewiston, ID
Active · expires Jun 29, 2028
CLIA Number13D2346447
Laboratory TypeOutpatient Behavioral Hth
Certificate Effective DateJune 30, 2026
Certificate Expiration DateJune 29, 2028
Laboratory DirectorSara L. Bennett
Laboratory Phone(208) 746-4097
Laboratory LocationRiverside Recovery LLC1720 18th Ave, Lewiston, ID 83501
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D2347134

Riverside Recovery LLC · Orofino, ID
Active · expires Jul 12, 2028
CLIA Number13D2347134
Laboratory TypeOutpatient Behavioral
Certificate Effective DateJuly 13, 2026
Certificate Expiration DateJuly 12, 2028
Laboratory DirectorBennett L. Sara
Laboratory Phone(208) 746-4097
Laboratory LocationRiverside Recovery LLC155 S Main St #3, Orofino, ID 83544
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ANTHONY BRIAN TENNY CADC
Counselor (Addiction (Substance Use Disorder))
1720 18TH AVE
LEWISTON, ID 83501
Nez Perce County (208) 816-0015
SARA LIGHT BENNETT LCPC
Counselor (Professional)
1720 18TH AVE
LEWISTON, ID 83501
Nez Perce County (208) 746-4097
AMANDA HALL
Counselor (Mental Health)
1720 18TH AVE
LEWISTON, ID 83501
Nez Perce County (208) 746-4097
RANDALL BENNETT
Case Manager/Care Coordinator
1720 18TH AVE
LEWISTON, ID 83501
Nez Perce County (208) 746-4097
JAMES FRANKLIN GUMP BS, CADC
Counselor (Addiction (Substance Use Disorder))
1720 18TH AVE
LEWISTON, ID 83501
Nez Perce County (208) 746-4097
CHRISTINE A JENSEN MPS,BS,AS
Case Manager/Care Coordinator
1720 18TH AVE
LEWISTON, ID 83501
Nez Perce County (208) 746-4097
JESSI NOAH
Peer Specialist
1720 18TH AVE
LEWISTON, ID 83501
Nez Perce County (208) 746-4097
GLENN E JEFFERSON JR. MD
Family Medicine
1720 18TH AVE
LEWISTON, ID 83501
Nez Perce County (208) 746-4097

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 Riverside Recovery LLC's NPI number?

The NPI number for Riverside Recovery LLC is 1366827255. It was assigned to this organization in the NPPES registry on July 21, 2015.

Where is Riverside Recovery LLC located?

Riverside Recovery LLC is located at 1720 18th Ave, Lewiston, ID 83501. The listed phone number is (208) 746-4097.

What is Riverside Recovery LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Does Riverside Recovery LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Riverside Recovery LLC was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.