Organization Active NPI

Schoharie County

Doing business as Schoharie County Chemical Dependence Clinic

  • Addiction (Substance Use Disorder) Counselor
  • Schoharie, NY
National Provider Identifier
1386739944
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
SCHOHARIE COUNTY
Doing business as
Schoharie County Chemical Dependence Clinic
Practice address
113 Park Place
Suite 1
Schoharie, NY 12157
Phone
(518) 295-2031
NPI assigned
Oct 3, 2006
Last updated
Jul 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Andrea Bohringer
Title
Quality Assurance Coordinator
Phone
(518) 295-8407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

113 Park Place
Suite 1
Schoharie, NY 12157

Mailing address

113 Park Place
Suite 1
Schoharie, NY 12157
Phone (518) 295-2031

Other identifiers 1

IdentifierTypeStateIssuer
00555784MedicaidNY

Other names 1

  • Schoharie County Chemical Dependence Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050126000353 NY Part B Supplier - Clinic/Group Practice 6507816741 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Schoharie, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1386739944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 PARK PLACE",
            "address_2": "SUITE 1",
            "city": "SCHOHARIE",
            "state": "NY",
            "postal_code": "12157",
            "telephone_number": "518-295-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 PARK PLACE",
            "address_2": "SUITE 1",
            "city": "SCHOHARIE",
            "state": "NY",
            "postal_code": "12157",
            "telephone_number": "518-295-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOHARIE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "BOHRINGER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "QUALITY ASSURANCE COORDINATOR",
        "authorized_official_telephone_number": "518-295-8407"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00555784",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schoharie County Chemical Dependence Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Schoharie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.

Verify at the official NPI Registry.