Individual provider Active NPI

Katelyn Jenna Halbur, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Golden, CO
National Provider Identifier
1508526955
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0999590 Issued in CO
Practice address
2801 Youngfield St Ste 101
Golden, CO 80401-0208
Phone
(720) 513-1215
NPI assigned
Dec 27, 2021
Reactivated
Apr 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 1656878 CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0999590 CO Primary

Addresses

Primary practice location

2801 Youngfield St Ste 101
Golden, CO 80401-0208

Mailing address

2801 Youngfield St Ste 101
Golden, CO 80401-0208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240718002043 CO Practitioner - Nurse Practitioner 3577009224 Reassigns benefits to 2 organizations
I20250729004118 OR Practitioner - Nurse Practitioner 3577009224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Robert Olsen MD LLCGroup PAC ID 7517354517, 25 clinicians

Practice addresses (Care Compare)

13535 SW 72ND Ave
Suite 170
Portland, OR 97223-8074
Phone (971) 300-0654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1656878COMDPsychiatric/Mental Health Registered Nurse
0999590COMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LG Behavioral Health of Colorado LLC CurrentSince May 16, 2025 Accepting new patients
Robert Olsen MD LLC CurrentSince May 16, 2025 Accepting new patients
Well Nourished LLC CurrentSince Apr 11, 2024 Accepting new patients
Robert Olsen MD Washington PC PastSince Oct 6, 2024 Accepting new patients

Locations

2801 Youngfield St
Ste 101
Golden, CO 80401
Phone (720) 512-1215

6950 E Belleview Ave
Ste 300
Greenwood Village, CO 80111
Phone (303) 468-8018

12157 W Cedar Dr
Ste 200
Lakewood, CO 80228
Phone (720) 513-1215

1925 NE Stucki Ave
Ste 270
Beaverton, OR 97006

250 NW Franklin Ave
Ste 204
Bend, OR 97703

9895 SE Sunnyside Rd
Ste F
Clackamas, OR 97015

1400 Executive Pkwy
Ste 250
Eugene, OR 97401

1547 NE 40th Ave
Portland, OR 97232
Phone (503) 281-6535

13535 SW 72nd Ave
Ste 170
Portland, OR 97223
Phone (303) 468-8018

833 SW 11th Ave
Ste 245
Portland, OR 97205
Phone (503) 442-6105

1547 NE 40th Ave
Ste B
Portland, OR 97232
Phone (855) 397-0197

2480 Liberty St NE
Ste 110
Salem, OR 97301
Phone (503) 371-1756

Organizations & group practices 4

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": "1640563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1508526955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 YOUNGFIELD ST STE 101",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804010208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 YOUNGFIELD ST STE 101",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804010208",
            "telephone_number": "720-513-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALBUR",
        "first_name": "KATELYN",
        "middle_name": "JENNA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-27",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "deactivation_date": "2024-03-26",
        "reactivation_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CO",
            "license": "1656878",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0999590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

Verify at the official NPI Registry.