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NPI Code Detail

MEDICARE: CONIFER PLAY THERAPY, LLC

MEDICARE: CONIFER PLAY THERAPY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0855XAdolescent and Children Mental Health Clinic/Center
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1114855624
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONIFER PLAY THERAPY, LLC
Provider Business Mailing Address
First Line : 10791 KITTY DR STE A
Second Line :
City : CONIFER
State : CO
Zip : 80433-7748
Country : US
Telephone Number : 720-281-9789
Fax Number :
Provider Business Practice Location Address
First Line : 10791 KITTY DR STE A
Second Line :
City : CONIFER
State : CO
Zip : 80433-7748
Country : US
Telephone Number : 720-281-9789
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LAUREN FERGUSON
Credential : MS, LMFT
Telephone Number : 720-281-9789
Provider Enumeration Date : 05/13/2026
Last Update Date : 05/13/2026

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Directions to “CONIFER PLAY THERAPY, LLC ” Practice Location

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