COUNTY OF SULLIVAN NPI 1417987165

NPI Information

NPI: 1417987165
Provider Name: COUNTY OF SULLIVAN
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
:
Address: 20 COMMUNITY LANE
LIBERTY, NY
ZIP 12754
Phone: (845) 292-8770

Map and Directions

Get Directions

NPI Details

COUNTY OF SULLIVAN is a community behavioral health in Liberty, NY. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. COUNTY OF SULLIVAN NPI is 1417987165. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

20 COMMUNITY LANE
LIBERTY, NY
ZIP 12754-716
Phone: (845) 292-8770
Fax: (845) 513-2111

The provider's authorized official is Salif Banse .
The authorized official title is Director and has the following contact phone number (845) 292-8770.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 7/7/2025.

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	Primary
1	101YM0800X	Counselor	Mental Health	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
3	104100000X	Social Worker		No
4	251B00000X	Case Management		No
5	261Q00000X	Clinic/Center		No
6	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
7	261QM0850X	Clinic/Center	Adult Mental Health	No
8	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
9	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
10	251S00000X	Community/Behavioral Health		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	00398370	MEDICAID	NEW YORK
2	12443	OTHER	NEW YORK	BEACON HEALTH
3	143247	OTHER	NEW YORK	GHI
4	143247	OTHER	NEW YORK	VALUE OPTIONS
5	01147777	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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI