Healthcare Provider Details

I. General information

NPI: 1972421410
Provider Name (Legal Business Name): CONIFER COUNSELING AND THERAPY SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

288 MAIN ST UNIT 7
BAILEY CO
80421-5014
US

IV. Provider business mailing address

PO BOX 102
CONIFER CO
80433-0102
US

V. Phone/Fax

Practice location:
  • Phone: 720-722-0122
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: SARA PETERSON
Title or Position: CCO
Credential:
Phone: 720-722-1577