Healthcare Provider Details

I. General information

NPI: 1336650191
Provider Name (Legal Business Name): KATELYN RABAGO MA, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATE RABAGO LPCC

II. Dates (important events)

Enumeration Date: 10/19/2017
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1228 8TH ST
GREELEY CO
80631-3216
US

IV. Provider business mailing address

1071 OAK CIR
LAKEWOOD CO
80215-4535
US

V. Phone/Fax

Practice location:
  • Phone: 720-663-0233
  • Fax:
Mailing address:
  • Phone: 612-360-0057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0020739
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: