NPIMap

Organization Active NPI

Livingston County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Geneseo, NY
National Provider Identifier
1578656302
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LIVINGSTON COUNTY
Practice address
4600 Millennium Dr
Geneseo, NY 14454-1197
Phone
(585) 243-7250
Fax
(585) 243-7264
NPI assigned
Oct 2, 2006
Organization subpart
Yes
Parent organization
LIVINGSTON COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Jill Burley
Title
Deputy Director
Phone
(585) 243-7270

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

4600 Millennium Dr
Geneseo, NY 14454-1197

Mailing address

4600 Millennium Dr
Geneseo, NY 14454-1197
Phone (585) 243-7250

Other practice location 1

2 Murray Hill Dr
Mount Morris, NY 14510-1122
Phone (585) 243-7542

Other identifiers 5

IdentifierTypeStateIssuer
LMOtherNYBCBS INDEM PROV NUMBER
014006252OtherNYBCBS PROVIDER NUMBER
00357960MedicaidNY
01662211MedicaidNY
103061EUOtherNYPREF CARE PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041008001137 NY Part B Supplier - Clinic/Group Practice 8527027093 Receives reassigned benefits from 12 practitioners
Practice locations: Geneseo, NY; Mount Morris, NY

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Genesee Valley Family M16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

4600 Millennium Dr
Geneseo, NY 14454
Phone (585) 243-7250

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Livingston County Center for Nursing and RehabiliationMount Morris, NY, CCN 335562 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 1, 1976
Nov 1, 1976
Livingston CountyMount Morris, NY, CCN 331553 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 19, 1992

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Livingston County
    • Community Based Hospice Care Agency
    • Mount Morris, NY
    • NPI 1326060724

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Livingston County

    dba Livingston County Center for Nursing and Rehabilitation

    • Skilled Nursing Facility
    • Mount Morris, NY
    • NPI 1376761478

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1578656302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MILLENNIUM DR",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144541197",
            "telephone_number": "585-243-7250",
            "fax_number": "585-243-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MILLENNIUM DR",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144541197",
            "telephone_number": "585-243-7250",
            "fax_number": "585-243-7264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Murray Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Mount Morris",
            "state": "NY",
            "postal_code": "145101122",
            "country_code": "US",
            "telephone_number": "585-243-7542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIVINGSTON COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIVINGSTON COUNTY",
        "enumeration_date": "2006-10-02",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "BURLEY",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "585-243-7270"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDEM PROV NUMBER",
            "identifier": "LM",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "014006252",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00357960",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01662211",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREF CARE PROVIDER NUMBER",
            "identifier": "103061EU",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneseo, NY

Sources for this page

Verify at the official NPI Registry.