ST LAWRENCE COUNTY COMMUNITY SERVICES
NPI 1699898635
Community/Behavioral Health in Canton, NY

Active since April 06, 2007
80 STATE HIGHWAY 310 STE 1, CANTON, NY 13617(315) 386-2167(315) 386-2435 Get Directions Write a Review

NPPES record last updated: January 6, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 6, 2023, Dec 20, 2022 (2 updates tracked since 2022).

About St Lawrence County Community Services NPPES

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

ST LAWRENCE COUNTY COMMUNITY SERVICES (NPI 1699898635) is a healthcare organization registered as a community/behavioral health in Canton, New York and active in the NPI registry since April 2007. The organization maintains a secondary practice location in Canton and lists Jay M Ulrich, Director, as its authorized official.

NPPES Registry Identity

NPI1699898635
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameST LAWRENCE COUNTY
Location Address80 STATE HIGHWAY 310 STE 1Canton, NY 13617-1436
Mailing Address80 State Highway 310, Suite 1Canton, NY 13617-1493 · (315) 386-2167 · Fax (315) 386-2435
Fax(315) 386-2435
Organization SubpartYes
Authorized OfficialJay M UlrichDirector · (315) 386-3562
Enumeration DateApril 6, 2007
Last NPPES UpdateJanuary 6, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2023
✔ NPI 1699898635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedSocial WorkerTaxonomy 104100000X
80 STATE HIGHWAY 310 STE 1, Canton, NY 13617

Other Names 1

Other NameSt Lawrence County Community Services

Secondary Practice Location 1

Location 180 State Highway 310, Suite 1Canton, NY 13617-1493 · Phone (315) 386-2167 · Fax (315) 386-2435

Other Identifiers 1

Medicaid00655803NY

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St Lawrence County Community Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to St Lawrence County Community Services, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Clinical Social Worker
NPI 1013447275
80 STATE HIGHWAY 310
Canton, NY 13617
(315) 386-2167
✔ PECOSSame address
Family Practice
NPI 1043304645
80 STATE HIGHWAY 310 STE 1
Canton, NY 13617
(315) 386-2167
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629737051
5130 E MAIN STREET RD #2
Batavia, NY 14020
(585) 344-1421
✔ PECOS

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 St Lawrence County's NPI number?

The NPI number for St Lawrence County is 1699898635. It was assigned to this organization in the NPPES registry on April 6, 2007. The provider is also known as St Lawrence County Community Services.

Where is St Lawrence County located?

St Lawrence County is located at 80 State Highway 310 Ste 1, Canton, NY 13617. The listed phone number is (315) 386-2167.

What is St Lawrence County's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is St Lawrence County enrolled in Medicare?

Yes. St Lawrence County is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St Lawrence County?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to St Lawrence County, in Clinical Social Worker, Family Practice and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for St Lawrence County was last updated on January 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.