OTSEGO COUNTY CHEMICAL DEPENDENCIES CLINIC
NPI 1104925031
Clinic/Center - Rehabilitation, Substance Use Disorder in Oneonta, NY
About Otsego County Chemical Dependencies Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OTSEGO COUNTY CHEMICAL DEPENDENCIES CLINIC (NPI 1104925031) is a healthcare organization registered as a rehabilitation, substance use disorder in Oneonta, New York and active in the NPI registry since September 2006. The organization lists Susan A Matt, Director Of Community Services, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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)
Otsego County Chemical Dependencies Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
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.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Otsego County Chemical Dependencies Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 County Of Otsego's NPI number?
The NPI number for County Of Otsego is 1104925031. It was assigned to this organization in the NPPES registry on September 21, 2006. The provider is doing business as Otsego County Chemical Dependencies Clinic.
Where is County Of Otsego located?
County Of Otsego is located at 242 Main Street, 2nd Floor, Oneonta, NY 13820. The listed phone number is (607) 431-1030.
What is County Of Otsego's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Is County Of Otsego enrolled in Medicare?
Yes. County Of Otsego is registered in the Medicare PECOS enrollment system.
When is County Of Otsego'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 January 31, 2027. 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 County Of Otsego?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to County Of Otsego. 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 (3), Nurse Practitioner (1) and Psychiatry (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for County Of Otsego was last updated on March 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Otsego County Chemical Dependencies Clinic · NPI 1104925031
Rehabilitation, Substance Use Disorder organization in Oneonta, New York. Organization record, active in the CMS NPPES registry since September 21, 2006.
## Identity
- **NPI:** 1104925031 (Entity type: Organization)
- **Enumerated:** September 21, 2006
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Legal business name:** County Of Otsego
- **Organization subpart:** No
- **Authorized official:** Susan Matt, DIRECTOR OF COMMUNITY SERVICES
## Practice location
- **Address:** 242 MAIN STREET,, 2ND FLOOR, Oneonta, NY 13820-2527
- **Phone:** (607) 431-1030 · **Fax:** (607) 431-1033
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (3), Nurse Practitioner (1), Psychiatry (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 29, 2017
- **Other identifiers:** Medicaid 00583582 (NY); Medicare PIN J100057369
---
Source: [NPI Profile](https://npiprofile.com/npi/1104925031) · Data from the CMS NPPES public registry.