Healthcare Provider Details

I. General information

NPI: 1174432280
Provider Name (Legal Business Name): ZACH BAKKO LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3627 W 85TH AVE
WESTMINSTER CO
80031-3738
US

IV. Provider business mailing address

3627 W 85TH AVE
WESTMINSTER CO
80031-3738
US

V. Phone/Fax

Practice location:
  • Phone: 720-469-3228
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0025227
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: