Phil Waggoner
Phil Waggoner is a healthcare organization registered as Addiction (Substance Use Disorder) Counselor in Lewiston, ID, holding Type 2 (organization) NPI 1871651422 since 2006. The authorized official on file is Dana Boyd, Business Ofc Manager Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1871651422 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Phil Waggoner |
| Other name | <Unavail> |
| Practice address | 1720 18TH AVE, Lewiston, ID, 83501 |
| Phone | 2087464097 |
| Fax | 2087462294 |
| Enumeration date | 2006-12-05 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Dana Boyd |
|---|---|
| Title | Business Ofc Manager Owner |
| Phone | 2087464097 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | Primary | 138 | ID |
Copy-ready billing details
Provider: Phil Waggoner NPI: 1871651422 Taxonomy: 101YA0400X (Addiction (Substance Use Disorder) Counselor) Address: 1720 18TH AVE, Lewiston, ID, 83501
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1326121286 | Glenn Jefferson | Individual | Family Medicine Physician | Lewiston, ID |
| 1093155566 | Sara Bennett | Individual | Professional Counselor | Lewiston, ID |
| 1366827255 | Riverside Recovery LLC | Organization | Addiction (Substance Use Disorder) Counselor | Lewiston, ID |
| 1417434689 | Tammy Lish-Watson | Individual | Social Worker | Lewiston, ID |
| 1497386585 | Kimberly Neely | Individual | Social Worker | Lewiston, ID |
| 1326671454 | Leanne Parker | Individual | Clinical Psychologist | Lewiston, ID |
| 1740806330 | Brianna Guier | Individual | Clinical Social Worker | Lewiston, ID |
| 1417710096 | Cynthia Ford | Individual | Peer Specialist | Lewiston, ID |
Verify this record
Cross-check NPI 1871651422 against the authoritative CMS record: view Phil Waggoner on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Phil Waggoner located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.