Conifer Park, Inc.
Conifer Park, Inc. is a healthcare organization registered as Substance Use Disorder Rehabilitation Clinic/Center in Plattsburgh, NY, holding Type 2 (organization) NPI 1346296720 since 2006. The authorized official on file is Tammy Smith, Director, Op Billing Dept..
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1346296720 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Conifer Park, Inc. |
| Practice address | 80 SHARRON AVE, Plattsburgh, NY, 12901 |
| Phone | 5185611447 |
| Fax | 5185628812 |
| Enumeration date | 2006-05-26 |
| Last updated in NPPES | 2021-04-29 |
Authorized official
| Name | Tammy Smith |
|---|---|
| Title | Director, Op Billing Dept. |
| Phone | 5189528408 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01420800 | Medicaid | NY | — |
Copy-ready billing details
Provider: Conifer Park, Inc. NPI: 1346296720 Taxonomy: 261QR0405X (Substance Use Disorder Rehabilitation Clinic/Center) Address: 80 SHARRON AVE, Plattsburgh, NY, 12901
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1275635880 | Pat Parker | Individual | Clinical Social Worker | Plattsburgh, NY |
| 1194827584 | Bruce Kokernot | Individual | Psychiatry Physician | Plattsburgh, NY |
| 1780847822 | Angela Doe | Individual | Addiction (Substance Use Disorder) Counselor | Plattsburgh, NY |
| 1952564007 | Michelle Collings | Individual | Addiction (Substance Use Disorder) Counselor | Plattsburgh, NY |
| 1356504401 | Nancy Reome | Individual | Addiction (Substance Use Disorder) Counselor | Plattsburgh, NY |
| 1528221447 | Charles Prather | Individual | Addiction (Substance Use Disorder) Counselor | Plattsburgh, NY |
| 1922261858 | Krystal Crooker | Individual | Addiction (Substance Use Disorder) Counselor | Plattsburgh, NY |
| 1144483066 | Elizabeth Manor | Individual | Addiction (Substance Use Disorder) Counselor | Plattsburgh, NY |
Verify this record
Cross-check NPI 1346296720 against the authoritative CMS record: view Conifer Park, Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Conifer Park, Inc.?
Who is the authorized official for Conifer Park, Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-04-29.