MEDICARE: RACHELLE RENEE REPA LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	101YP2500X	Professional Counselor	LPC.0019640	CO

General Provider Information

NPI Number	:	1407538184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHELLE RENEE REPA LPC

Provider Business Mailing Address
First Line	:	7222 BUCKINGHAM PL
Second Line	:
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80130-4169
Country	:	US
Telephone Number	:	720-366-3128
Fax Number	:

Provider Business Practice Location Address
First Line	:	7222 BUCKINGHAM PL
Second Line	:
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80130-4169
Country	:	US
Telephone Number	:	720-366-3128
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2023
Last Update Date	:	06/10/2025

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Directions to “ RACHELLE RENEE REPA LPC” Practice Location

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