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Chad Michael Rollings

Peer Specialist β€’ Plattsburgh, NY

Active NPI 1407409592 Individual Practitioner Male Practitioner
Practice location in NPPES

80 Sharron Ave
Plattsburgh, NY 129014700

Call 5185611447 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

80 Sharron Ave

Plattsburgh, NY 129014700

Telephone 5185611447
Organization at the Same NPPES Address or Phone
Conifer Park, Inc. Facility NPI 1346296720

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Liverpool, NY. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Plattsburgh and New York

5 active clinicians are listed under Peer Specialist with a practice address in Plattsburgh, NY (1,526 in New York).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-10-06
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES NY 5051

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Secondary Practice Locations

526 Old Liverpool Rd

Liverpool, NY 130886238

Phone: 3154533911

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Elena Ferrer , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1548890841

Psychiatric-Mental Health Nurse Practitioner

Dr. Bruce Kokernot , MD

Psychiatry & Neurology - Psychiatry

NPI 1194827584

Doctor of Medicine (M.D.)

Brett Palmer , PA-C

Physician Assistant

NPI 1932633419

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Business Mailing Address October 06, 2023

Registered at 1 FISKE RD APT 4, WEST CHAZY, NY 129923308

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2023

Peer Specialist (license number reported to NPPES: NY 5051)

βœ…
NPI Profile Active July 18, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 18, 2019

Registered at 80 SHARRON AVE, PLATTSBURGH, NY 129014700 (Tel: 5185611447)

πŸ“
Business Mailing Address (Initial Record) July 18, 2019

Registered at 79 GLENRIDGE RD, GLENVILLE, NY 123024523

πŸ‘€
Provider Name / Credentials (Initial Record) July 18, 2019

Recorded as CHAD ROLLINGS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2019

Counselor

🟒
Initial NPI Registration & Enumeration July 18, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1407409592
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2019
Last Update: October 06, 2023
Sole Proprietor: No

Mailing Address

1 Fiske Rd Apt 4

West Chazy, NY 129923308

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.