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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

BENJAMIN CHET REVIS
NPI 1760304356
Counselor - Addiction (Substance Use Disorder) in Clearlake Oaks, CA

Active since July 27, 2026
14715 E. HIGHWAY 20, CLEARLAKE OAKS, CA 95423(707) 998-1800(707) 998-0122 Get Directions Write a Review

NPPES record added: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Benjamin Chet Revis NPPES

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

BENJAMIN CHET REVIS (NPI 1760304356) is an individual addiction (substance use disorder) provider in Clearlake Oaks, California, licensed in California (SUDRC26267) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1760304356
Entity TypeIndividual
Primary Taxonomy101YA0400X
Provider Legal NameBENJAMIN CHET REVIS
Location Address14715 E. HIGHWAY 20Clearlake Oaks, CA 95423
Mailing AddressPo Box 316Lucerne, CA 95458-0316 · (707) 998-1800 · Fax (707) 998-0122
Phone(707) 998-1800
Fax(707) 998-0122
Sole ProprietorNo
Enumeration DateJuly 27, 2026
NPPES CertifiedJuly 9, 2026
✔ NPI 1760304356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · SUDRC26267
14715 E. HIGHWAY 20, Clearlake Oaks, CA 95423
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Other Providers at the Same Location NPPES 4

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

JOHN PHILLIP SHERIDAN
Counselor (Addiction (Substance Use Disorder))
14715 E. HIGHWAY 20
CLEARLAKE OAKS, CA 95423
Lake County (707) 274-5610
CIERRA ELIZABETH CANFIELD SUDRCI
Counselor (Addiction (Substance Use Disorder))
14715 E. HIGHWAY 20
CLEARLAKE OAKS, CA 95423
Lake County (707) 998-1800
CHRISTOPHER WILLIAM CLINE
Counselor (Addiction (Substance Use Disorder))
14715 E. HIGHWAY 20
CLEARLAKE OAKS, CA 95423
Lake County (707) 998-1800
JENNIFER LYNN KRAUS
Counselor (Addiction (Substance Use Disorder))
14715 E. HIGHWAY 20
CLEARLAKE OAKS, CA 95423
Lake County (707) 998-1800

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 Benjamin Revis's NPI number?

The NPI number for Benjamin Revis is 1760304356. It was assigned to this individual provider in the NPPES registry on July 27, 2026.

Where is Benjamin Revis located?

Benjamin Revis practices at 14715 E. Highway 20, Clearlake Oaks, CA 95423. The listed phone number is (707) 998-1800.

What is Benjamin Revis's specialty?

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

When was this NPI record last updated?

The NPPES record for Benjamin Revis was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.