Individual provider Active NPI

Kathy Korell-Rach, PH.D.

  • Clinical Psychologist
  • Loveland, CO
National Provider Identifier
1093028722
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0004016 Issued in CO
Practice address
1905 W 8TH St Ste 100
Loveland, CO 80537-5294
Phone
(970) 286-7856
NPI assigned
Jul 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NLC.0012210 CO
Clinical Psychologist 103TC0700X PSY.0004016 CO Primary

Addresses

Primary practice location

1905 W 8TH St Ste 100
Loveland, CO 80537-5294

Mailing address

7170 Homer Rd
Loveland, CO 80537-9651
Phone (970) 286-7856

Other practice location 1

832 W Eisenhower Blvd
Suite E
Loveland, CO 80537-3134
Phone (970) 286-7856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
NLC.0012210COMDMental Health Counselor
PSY.0004016COMDClinical Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1093028722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7170 HOMER RD",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805379651",
            "telephone_number": "970-286-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 W 8TH ST STE 100",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805375294",
            "telephone_number": "970-286-7856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "832 W Eisenhower Blvd",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805373134",
            "country_code": "US",
            "telephone_number": "970-286-7856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORELL-RACH",
        "first_name": "KATHY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-22",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "NLC.0012210",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0004016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.