Active NPI
Riverside Rehab, Inc.
- Clinical Social Worker
- Boise, ID
National Provider Identifier
1922167279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- RIVERSIDE REHAB, INC.
- Practice address
- 7735 W Riverside Dr
Boise, ID 83714-6182 - Phone
- (208) 853-8536
- Fax
- (208) 853-2929
- NPI assigned
- Dec 6, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Lee Barton III, M.ED.,C.R.C
- Title
- Owner-President
- Phone
- (208) 853-8536
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Social Worker | 104100000X | NU | ||
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
7735 W Riverside Dr
Boise, ID 83714-6182
Mailing address
7711 W. Riverside Dr
Garden City, ID 83714
Phone (208) 853-8536
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1922167279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7711 W. RIVERSIDE DR",
"city": "GARDEN CITY",
"state": "ID",
"postal_code": "83714",
"telephone_number": "208-853-8536",
"fax_number": "208-853-2929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7735 W RIVERSIDE DR",
"city": "BOISE",
"state": "ID",
"postal_code": "837146182",
"telephone_number": "208-853-8536",
"fax_number": "208-853-2929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE REHAB, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "BARTON",
"authorized_official_first_name": "LEE",
"authorized_official_title_or_position": "OWNER-PRESIDENT",
"authorized_official_telephone_number": "208-853-8536",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "M.ED.,C.R.C"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.