Phil Waggoner
NPI 1871651422 · Addiction (Substance Use Disorder) Counselor · Lewiston, ID
Phil Waggoner is a Addiction (Substance Use Disorder) Counselor organization in Lewiston, ID (NPI 1871651422).
Provider details
- NPI number
- 1871651422
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Dana Boyd, Business Ofc Manager Owner(208) 746-4097
- License
- 138 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
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
Other names (DBA / former)
- Doing business as
- Riverside Recovery
Registry dates
- Enumerated
- 2006-12-05
- Last updated
- 2020-08-22
Frequently asked questions
- What is Phil Waggoner's NPI number?
- Phil Waggoner's National Provider Identifier (NPI) is 1871651422, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phil Waggoner?
- Phil Waggoner is classified in the NPPES registry as Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Phil Waggoner located?
- Phil Waggoner's practice location on file with NPPES is 1720 18th Ave, Lewiston, ID 83501-4047.
- What is Phil Waggoner's phone number?
- The practice phone number listed in the NPPES registry for Phil Waggoner is (208) 746-4097.
- Who is the authorized official for Phil Waggoner?
- The authorized official listed on Phil Waggoner's NPPES record is Dana Boyd, Business Ofc Manager Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phil Waggoner's NPI active?
- Yes — Phil Waggoner's NPI (1871651422) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.