Active NPI
Tioga County
- Case Management Agency
- Owego, NY
National Provider Identifier
1114122306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- TIOGA COUNTY
- Practice address
- 1062 State Route 38
Owego, NY 13827 - Phone
- (607) 687-0200
- Fax
- (607) 687-0248
- NPI assigned
- Jun 18, 2007
- Organization subpart
- Yes
- Parent organization
- TIOGA COUNTY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Leblanc, LMSW
- Title
- Director of Community Services
- Phone
- (607) 687-0200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
1062 State Route 38
Owego, NY 13827
Mailing address
1062 State Route 38
PO Box 177
Owego, NY 13827
Phone (607) 687-0200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6893100A | Other | NY | NYSOMH OPER. CERT. NO. |
| 6893100B | Other | NY | NYSOMH OPER. CERT. NO. |
| 00618162 | Medicaid | NY |
Other names 1
- Tioga County Department of Mental Hygiene
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040113000343 | NY | Part B Supplier - Clinic/Group Practice | 6709786916 |
Receives reassigned benefits from 15 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Owego, NY; Waverly, NY |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Tioga County Health Department
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Binghamton, NY
- NPI 1649519596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212451200000",
"number": "1114122306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1062 STATE ROUTE 38",
"address_2": "PO BOX 177",
"city": "OWEGO",
"state": "NY",
"postal_code": "13827",
"telephone_number": "607-687-0200",
"fax_number": "607-687-0248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1062 STATE ROUTE 38",
"city": "OWEGO",
"state": "NY",
"postal_code": "13827",
"telephone_number": "607-687-0200",
"fax_number": "607-687-0248"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIOGA COUNTY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TIOGA COUNTY",
"enumeration_date": "2007-06-18",
"last_updated": "2008-06-03",
"status": "A",
"authorized_official_last_name": "LEBLANC",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "DIRECTOR OF COMMUNITY SERVICES",
"authorized_official_telephone_number": "607-687-0200",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYSOMH OPER. CERT. NO.",
"identifier": "6893100A",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYSOMH OPER. CERT. NO.",
"identifier": "6893100B",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00618162",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tioga County Department of Mental Hygiene",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Owego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.