NPIMap

Organization Active NPI

County of Chenango

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Norwich, NY
National Provider Identifier
1891725255
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
070510713 Issued in NY
Legal business name
COUNTY OF CHENANGO
Practice address
5 Court St Ste 42
Norwich, NY 13815-1695
Phone
(607) 337-1600
Fax
(607) 334-4519
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
Mrs. Irina Gordeyeva, LCSW-R
Title
Director of Community Services
Phone
(607) 337-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 070510713 NY Primary

Addresses

Primary practice location

5 Court St Ste 42
Norwich, NY 13815-1695

Mailing address

105 Leilani'S Way
Norwich, NY 13815
Phone (607) 337-1680

Other identifiers 2

IdentifierTypeStateIssuer
00581246MedicaidNY
143232OtherNYFAMILY HEALTH PLUS

Other names 1

  • Chenango County Alcohol & Drug Abuse Services Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040205000232 NY Part B Supplier - Clinic/Group Practice 5597658344 Receives reassigned benefits from 17 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Greene, NY; Norwich, 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
Tax ID family
Florante I Tinio MD9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

105 Leilanis Ln
Norwich, NY 13815
Phone (607) 337-1680

5 Court St
Ste 42
Norwich, NY 13815
Phone (607) 337-1600

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1891725255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 LEILANI'S WAY",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "13815",
            "telephone_number": "607-337-1680",
            "fax_number": "607-336-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 COURT ST STE 42",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151695",
            "telephone_number": "607-337-1600",
            "fax_number": "607-334-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CHENANGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "GORDEYEVA",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "DIRECTOR OF COMMUNITY SERVICES",
        "authorized_official_telephone_number": "607-337-1600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NY",
            "license": "070510713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00581246",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY HEALTH PLUS",
            "identifier": "143232",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chenango County Alcohol & Drug Abuse Services Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norwich, NY

Sources for this page

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