Provider Demographics
NPI:1396450540
Name:BATES, KARRAH BERNICE (MA, LPC)
Entity type:Individual
Prefix:
First Name:KARRAH
Middle Name:BERNICE
Last Name:BATES
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:588 N US HIGHWAY 287 STE 200
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-2615
Mailing Address - Country:US
Mailing Address - Phone:720-387-8458
Mailing Address - Fax:
Practice Address - Street 1:588 N US HIGHWAY 287 STE 200
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-2615
Practice Address - Country:US
Practice Address - Phone:720-387-8458
Practice Address - Fax:720-306-5190
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-20
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0021700101YM0800X
COLPCC.0019389101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health