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      <submissionType>144</submissionType>
      <filerInfo>
        <filer>
          <filerCredentials>
            <cik>0001730468</cik>
            <ccc>XXXXXXXX</ccc>
          </filerCredentials>
        </filer>
        <liveTestFlag>LIVE</liveTestFlag>
  
  
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      <issuerInfo>
        <issuerCik>0001136174</issuerCik>
        <issuerName>Ontrak, Inc.</issuerName>
        <secFileNumber>001-31932</secFileNumber>
        <issuerAddress>
          <com:street1>333 S. E. 2ND AVENUE</com:street1>
          <com:street2>SUITE 2000</com:street2>
          <com:city>MIAMI</com:city>
          <com:stateOrCountry>FL</com:stateOrCountry>
          <com:zipCode>33131</com:zipCode>
        </issuerAddress>
        <issuerContactPhone>310 444 4300</issuerContactPhone>
        <nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>Sherman Michael Edward</nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
        <relationshipsToIssuer>
          <relationshipToIssuer>Director</relationshipToIssuer>
        </relationshipsToIssuer>
      </issuerInfo>
      <securitiesInformation>
        <securitiesClassTitle>Common</securitiesClassTitle>
        <brokerOrMarketmakerDetails>
          <name>FIDELITY BROKERAGE SERVICES LLC</name>
          <address>
            <com:street1>245 SUMMER STREET</com:street1>
            <com:city>BOSTON</com:city>
            <com:stateOrCountry>MA</com:stateOrCountry>
            <com:zipCode>02110</com:zipCode>
          </address>
        </brokerOrMarketmakerDetails>
        <noOfUnitsSold>173</noOfUnitsSold>
        <aggregateMarketValue>311.00</aggregateMarketValue>
        <noOfUnitsOutstanding>4217846</noOfUnitsOutstanding>
        <approxSaleDate>11/20/2024</approxSaleDate>
        <securitiesExchangeName>NASDAQ</securitiesExchangeName>
      </securitiesInformation>
      <securitiesToBeSold>
        <securitiesClassTitle>Common</securitiesClassTitle>
        <acquiredDate>03/12/2024</acquiredDate>
        <natureOfAcquisitionTransaction>Open Mkt</natureOfAcquisitionTransaction>
        <nameOfPersonfromWhomAcquired>Issuer</nameOfPersonfromWhomAcquired>
        <isGiftTransaction>N</isGiftTransaction>
        <amountOfSecuritiesAcquired>28</amountOfSecuritiesAcquired>
        <paymentDate>03/12/2024</paymentDate>
        <natureOfPayment>n/a</natureOfPayment>
      </securitiesToBeSold>
      <securitiesToBeSold>
        <securitiesClassTitle>Common</securitiesClassTitle>
        <acquiredDate>03/13/2024</acquiredDate>
        <natureOfAcquisitionTransaction>Open Mkt </natureOfAcquisitionTransaction>
        <nameOfPersonfromWhomAcquired>Issuer</nameOfPersonfromWhomAcquired>
        <isGiftTransaction>N</isGiftTransaction>
        <amountOfSecuritiesAcquired>145</amountOfSecuritiesAcquired>
        <paymentDate>03/13/2024</paymentDate>
        <natureOfPayment>n/a</natureOfPayment>
      </securitiesToBeSold>
      <nothingToReportFlagOnSecuritiesSoldInPast3Months>Y</nothingToReportFlagOnSecuritiesSoldInPast3Months>
      <noticeSignature>
        <noticeDate>11/20/2024</noticeDate>
        <signature>/s/ Daniel Gardea as a duly authorized representative of Fidelity Brokerage Services LLC, as attorney-in-fact for Sherman Michael Edward.</signature>
      </noticeSignature>
    </formData>
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text: 144
  0001730468
  XXXXXXXX
  LIVE
  0001136174
  Ontrak, Inc.
  001-31932
  333 S. E. 2ND AVENUE
  SUITE 2000
  MIAMI
  FL
  33131
  310 444 4300
  Sherman Michael Edward
  Director
  Common
  FIDELITY BROKERAGE SERVICES LLC
  245 SUMMER STREET
  BOSTON
  MA
  02110
  173
  311.00
  4217846
  11/20/2024
  NASDAQ
  Common
  03/12/2024
  Open Mkt
  Issuer
  N
  28
  03/12/2024
  n/a
  Common
  03/13/2024
  Open Mkt
  Issuer
  N
  145
  03/13/2024
  n/a
  Y
  11/20/2024
  /s/ Daniel Gardea as a duly authorized representative of Fidelity Brokerage Services LLC, as attorney-in-fact for Sherman Michael Edward.