NPIMap

Organization Active NPI

Conifer Counseling and Therapy Services, Inc

  • Professional Counselor
  • Conifer, CO
National Provider Identifier
1144658923
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CONIFER COUNSELING AND THERAPY SERVICES, INC
Practice address
12424 Big Timber Dr Unit 3
Conifer, CO 80433-6410
Phone
(720) 722-0122
NPI assigned
Oct 14, 2013
Last updated
Jun 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Sara Peterson, LPC
Title
Owner
Phone
(720) 722-1577

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Professional Counselor 101YP2500X Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

12424 Big Timber Dr Unit 3
Conifer, CO 80433-6410

Mailing address

PO Box 102
Conifer, CO 80433-0102
Phone (720) 722-0122

Other practice location 1

288 Main St
Bailey, CO 80421-5014
Phone (719) 728-2733

Other practice location 2

295 5th St
Fairplay, CO 80440-5016
Phone (719) 728-2733

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230802004518 CO Part B Supplier - Clinic/Group Practice 7214398510 Receives reassigned benefits from 11 practitioners
Practice locations: Conifer, CO

National Provider Directory

National Provider Directory
Tax ID family
Conifer Counseling and Therapy Services Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

11873 Springs Rd
Ste 120
Conifer, CO 80433

13700 US Highway 285
Unit 113
Pine, CO 80470

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1144658923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804330102",
            "telephone_number": "720-722-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12424 BIG TIMBER DR UNIT 3",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804336410",
            "telephone_number": "720-722-0122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "288 Main St",
            "address_purpose": "LOCATION",
            "city": "Bailey",
            "state": "CO",
            "postal_code": "804215014",
            "country_code": "US",
            "telephone_number": "719-728-2733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "295 5th St",
            "address_purpose": "LOCATION",
            "city": "Fairplay",
            "state": "CO",
            "postal_code": "804405016",
            "country_code": "US",
            "telephone_number": "719-728-2733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONIFER COUNSELING AND THERAPY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-722-1577",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conifer, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.