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

Q: 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.

Q: What is St Lawrence County's specialty?

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

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: July 19, 2026.

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

On this page

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

Phone(315) 386-2167

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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedSocial WorkerTaxonomy 104100000X

80 STATE HIGHWAY 310 STE 1, Canton, NY 13617

Open in Google Maps ↗

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

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANTOINE GABRIEL MD

Psychiatry & Neurology (Child & Adolescent Psychiatry)

80 STATE HIGHWAY 310 STE 1
CANTON, NY 13617

St. Lawrence County (315) 386-2167

KRISTINA BETH KELLY-SNOW MS IN MENTAL HEALTH

Counselor (Mental Health)

80 STATE HIGHWAY 310 STE 1
CANTON, NY 13617

St. Lawrence County (315) 386-2167

PATRICIA PIELNIK MD

Psychiatry & Neurology (Psychiatry)

80 STATE HIGHWAY 310 STE 1
CANTON, NY 13617

St. Lawrence County (315) 386-2167

CYNTHIA J PROVOW MD

General Practice

80 STATE HIGHWAY 310 STE 1
CANTON, NY 13617

St. Lawrence County (315) 386-2189

MS. GIDGET Q.V. RAFUS-ROUSELL CASAC II

Counselor (Mental Health)

80 STATE HIGHWAY 310 STE 1, ST. LAWRENCE COUNTY COMMUNITY
CANTON, NY 13617

St. Lawrence County (315) 386-2167

MS. KAYLIE E. DESHANE CASAC

Counselor (Addiction (Substance Use Disorder))

80 STATE HIGHWAY 310 STE 1
CANTON, NY 13617

St. Lawrence County (315) 386-2189

RANDYL SHANE CHASE

Counselor (Addiction (Substance Use Disorder))

80 STATE HIGHWAY 310 STE 1
CANTON, NY 13617

St. Lawrence County (315) 386-2189

HEATHER DEDRICK RN

Registered Nurse (Addiction (Substance Use Disorder))

80 STATE HIGHWAY 310 STE 1
CANTON, NY 13617

St. Lawrence County (315) 386-2189

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.

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.

When was this NPI record last updated?

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