OUTREACH PROJECT
NPI 1083717326
Counselor - Addiction (Substance Use Disorder) in Richmond Hill, NY

Active since September 05, 2006CLIA 33D2155457 · Waiver
11711 MYRTLE AVENUE, RICHMOND HILL, NY 11418(718) 847-9233(718) 849-1093 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 16, 2021, Mar 13, 2017 (2 updates tracked since 2017).

About Outreach Project NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OUTREACH PROJECT (NPI 1083717326) is a healthcare organization registered as an addiction (substance use disorder) in Richmond Hill, New York and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Christine Casiano, Vice President Of Operations And Co, as its authorized official.

NPPES Registry Identity

NPI1083717326
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameOUTREACH DEVELOPMENT CORPORATION
Location Address11711 MYRTLE AVENUERichmond Hill, NY 11418-1751
Mailing Address11711 Myrtle AvenueRichmond Hill, NY 11418 · (718) 847-9233 · Fax (718) 849-1093
Fax(718) 849-1093
Organization SubpartNo
Authorized OfficialChristine CasianoVice President Of Operations And Co · (718) 847-9233
Enumeration DateSeptember 5, 2006
Last NPPES UpdateAugust 16, 20212 updates tracked since enumeration
NPPES CertifiedAugust 16, 2021
✔ NPI 1083717326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed in NY · 070511273✔ Licensed in NY · 081110563✔ Licensed in NY · 061110561
11711 MYRTLE AVENUE, Richmond Hill, NY 11418

Other Names 1

Other NameOutreach Project

Other Identifiers 1

Medicaid00994803NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Outreach Project is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20040603001529Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Outreach Project, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Clinical Social Worker8
Psychiatry4
Mental Health Counselor2
Nurse Practitioner1

Clinicians, nearest first (15)

Clinical Social Worker
NPI 1104907187
9745 QUEENS BLVD PH FLOOR
Rego Park, NY 11374
(718) 896-9090
✔ PECOS✔ Accepts Medicare2.5 mi
Clinical Social Worker
NPI 1912242512
7901 BROADWAY
Elmhurst, NY 11373
(718) 334-4000
✔ PECOS4.2 mi
Clinical Social Worker
NPI 1033293527
1600 CENTRAL AVE
Far Rockaway, NY 11691
(718) 327-1600
✔ PECOS✔ Accepts Medicare7.8 mi
Mental Health Counselor
NPI 1649847377
8802 ROCKAWAY BEACH BLVD
Rockaway Beach, NY 11693
(718) 634-3461
✔ PECOS7.8 mi
Mental Health Counselor
NPI 1639772007
70 GREENWICH ST
Hempstead, NY 11550
(516) 434-4300
✔ PECOS✔ Accepts Medicare11 mi
Psychiatry
NPI 1861434532
70 GLEN ST SUITE 102
Glen Cove, NY 11542
(516) 609-9294
✔ PECOS✔ Accepts Medicare16 mi
Clinical Social Worker
NPI 1689112195
3175 BRIXTON LN #7
Levittown, NY 11756
(612) 229-8318
✔ PECOS17 mi
Clinical Social Worker
NPI 1801062252
707 BROADWAY
Massapequa, NY 11758
(516) 885-6255
✔ PECOS✔ Accepts Medicare19 mi
Clinical Social Worker
NPI 1578024816
998 CROOKED HILL RD BLDG 5
Brentwood, NY 11717
(631) 521-8400
✔ PECOS✔ Accepts Medicare29 mi
Clinical Social Worker
NPI 1619085537
11 ROUTE 111
Smithtown, NY 11787
(631) 920-8300
✔ PECOS✔ Accepts Medicare35 mi
Clinical Social Worker
NPI 1255778213
11 ROUTE 111
Smithtown, NY 11787
(631) 920-8300
✔ PECOS✔ Accepts Medicare35 mi
Psychiatry
NPI 1356309603
1461 LAKELAND AVE UNIT 14
Bohemia, NY 11716
(631) 218-8800
✔ PECOS✔ Accepts Medicare38 mi
Nurse Practitioner
NPI 1245756154
865 BROADWAY AVE APT 72B
Holbrook, NY 11741
(631) 703-0303
✔ PECOS41 mi
Psychiatry
NPI 1427184829
1019 E WATER ST
Elmira, NY 14901
(607) 733-5696
✔ PECOS✔ Accepts Medicare181 mi
Psychiatry
NPI 1609280262
16111 PLUMMER ST
North Hills, CA 91343
(818) 891-7711
✔ PECOS✔ Accepts Medicare2,467 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2155457

Outreach Development Corp · Richmond Hill, NY
Active · expires Mar 26, 2027
CLIA Number33D2155457
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateOctober 1, 2018
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Enoch Chan
Laboratory Phone(631) 847-9233
Laboratory LocationOutreach Development Corp117-11 Myrtle Ave, Richmond Hill, NY 11418
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Outreach Development Corporation's NPI number?

The NPI number for Outreach Development Corporation is 1083717326. It was assigned to this organization in the NPPES registry on September 5, 2006. The provider is also known as Outreach Project.

Where is Outreach Development Corporation located?

Outreach Development Corporation is located at 11711 Myrtle Avenue, Richmond Hill, NY 11418. The listed phone number is (718) 847-9233.

What is Outreach Development Corporation's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Outreach Development Corporation enrolled in Medicare?

Yes. Outreach Development Corporation is registered in the Medicare PECOS enrollment system.

When is Outreach Development Corporation's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Outreach Development Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 4 Medicare specialties reassign their Medicare billing to Outreach Development Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (8), Psychiatry (4) and Mental Health Counselor (2). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Outreach Development Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2155457) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Outreach Development Corporation was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.