Organization Active NPI

Conifer Family Therapy LLC

  • Clinical Social Worker
  • Castle Rock, CO
National Provider Identifier
1154866069
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CONIFER FAMILY THERAPY LLC
Practice address
1275 Castle Pointe Dr
Castle Rock, CO 80104-3258
Phone
(303) 990-2696
NPI assigned
Dec 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Joan Quillman Palan, LCSW, LMFT, CAC IIINPI 1750694857
Title
Owner
Phone
(303) 990-2696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

1275 Castle Pointe Dr
Castle Rock, CO 80104-3258

Mailing address

1275 Castle Pointe Dr
Castle Rock, CO 80104-3258
Phone (303) 990-2696

National Provider Directory

National Provider Directory

Locations

26689 Pleasant Park Rd
Ste 70
Conifer, CO 80433
Phone (303) 736-9590

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1483142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1154866069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 CASTLE POINTE DR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801043258",
            "telephone_number": "303-990-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 CASTLE POINTE DR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801043258",
            "telephone_number": "303-990-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONIFER FAMILY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-31",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "PALAN",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "QUILLMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-990-2696",
        "authorized_official_credential": "LCSW, LMFT, CAC III"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.