CONIFER PARK, INC
NPI 1538180351
Substance Abuse Rehabilitation Facility in Glenville, NY
About Conifer Park, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONIFER PARK, INC (NPI 1538180351) is a healthcare organization registered as a substance abuse rehabilitation facility in Glenville, New York and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Andrea M Betts, Business Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Conifer Park, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Conifer Park, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (15)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 33D0914711
Conifer Park Inc · Glenville, NYFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Conifer Park, Inc's NPI number?
The NPI number for Conifer Park, Inc is 1538180351. It was assigned to this organization in the NPPES registry on July 21, 2006.
Where is Conifer Park, Inc located?
Conifer Park, Inc is located at 79 Glenridge Rd, Glenville, NY 12302. The listed phone number is (518) 952-8142.
What is Conifer Park, Inc's specialty?
The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
Is Conifer Park, Inc enrolled in Medicare?
Yes. Conifer Park, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Conifer Park, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 5 Medicare specialties reassign their Medicare billing to Conifer Park, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (9), Clinical Social Worker (2) and Mental Health Counselor (2). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Conifer Park, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D0914711) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Conifer Park, Inc was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Conifer Park, Inc · NPI 1538180351
Substance Abuse Rehabilitation Facility organization in Glenville, New York. Organization record, active in the CMS NPPES registry since July 21, 2006.
## Identity
- **NPI:** 1538180351 (Entity type: Organization)
- **Enumerated:** July 21, 2006
- **Primary specialty:** Substance Abuse Rehabilitation Facility · taxonomy 324500000X
- **Organization subpart:** No
- **Authorized official:** Andrea Betts, BUSINESS OFFICE MANAGER
## Practice location
- **Address:** 79 GLENRIDGE RD, Glenville, NY 12302-4523
- **Phone:** (518) 952-8142
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 15 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Clinical Social Worker (2), Mental Health Counselor (2); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 15, 2026
- **Other identifiers:** Medicaid 01420800 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1538180351) · Data from the CMS NPPES public registry.