CLINTON COUNTY NPI 1164465902

NPI Information

NPI: 1164465902
Provider Name: CLINTON COUNTY

Doing Business As: MENTAL HEALTH & ADDICTION SERVICES

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
130 ARIZONA AVE STE 1500
PLATTSBURGH, NY
ZIP 12903
Phone: (518) 565-4060
Get Directions

CLINTON COUNTY is a mental health counselor in Plattsburgh, NY. CLINTON COUNTY NPI is 1164465902. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mental Health & Addiction Services.

The provider's business location address is:

130 ARIZONA AVE STE 1500
PLATTSBURGH, NY
ZIP 12903-908
Phone: (518) 565-4060
Fax: (518) 566-0168

The provider's authorized official is Richelle Gregory .
The authorized official title is Director Of Community Services and has the following contact phone number (518) 565-4060.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	05727	NEW YORK	No
2	101YM0800X	Counselor	Mental Health	685511	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00672046	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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