Individual provider Active NPI

Katelyn Buettner, MA, LPC, LAC

  • Professional Counselor
  • Louisville, CO
National Provider Identifier
1467984963
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.19079 Issued in CO
Practice address
90 Health Park Dr Ste 290
Louisville, CO 80027-9586
Phone
(303) 439-8910
Fax
(303) 439-9134
NPI assigned
Apr 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACB.0008443 CO
Case Manager/Care Coordinator 171M00000X
Professional Counselor 101YP2500X LPCC.0017784 CO
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0001543 CO
Professional Counselor 101YP2500X LPC.19079 CO Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

90 Health Park Dr Ste 290
Louisville, CO 80027-9586

Mailing address

90 Health Park Dr Ste 290
Louisville, CO 80027-9586
Phone (303) 439-8910

Other practice location 1

4455 E 12th Ave
Denver, CO 80220-2415
Phone (303) 504-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240423004479 CO Practitioner - Mental Health Counselor 3173962131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Portercare Adventist Health SystemGroup PAC ID 0941110886, 770 clinicians

Practice addresses (Care Compare)

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

611 Mitchell Way
Erie, CO 80516-5443

90 Health Park Dr
Suite 350
Louisville, CO 80027-9742
Phone (303) 925-5068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
ACB.0008443COMDAddiction (Substance Use Disorder) Counselor
ACD.0001543COMDAddiction (Substance Use Disorder) Counselor
LPC.19079COMDProfessional Counselor
LPCC.0017784COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Oct 20, 2025 Accepting new patients
Portercare Adventist Health System CurrentSince Oct 20, 2025 Accepting new patients
Portercare Adventist Health System Current Accepting new patients

Locations

90 Health Park Dr
Ste 290
Louisville, CO 80027
Phone (303) 439-8910

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1467984963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HEALTH PARK DR STE 290",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279586",
            "telephone_number": "303-439-8910",
            "fax_number": "303-439-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 HEALTH PARK DR STE 290",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279586",
            "telephone_number": "303-439-8910",
            "fax_number": "303-439-9134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4455 E 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802202415",
            "country_code": "US",
            "telephone_number": "303-504-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUETTNER",
        "first_name": "KATELYN",
        "credential": "MA, LPC, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACB.0008443",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPCC.0017784",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0001543",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.19079",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

Verify at the official NPI Registry.