Active NPI
Katelyn Jenna Halbur, APN
- Psychiatric/Mental Health Nurse Practitioner
- Golden, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0999590
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1656878 | CO | MD | Psychiatric/Mental Health Registered Nurse |
| 0999590 | CO | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LG Behavioral Health of Colorado LLC | Current | Accepting new patients | |
| Robert Olsen MD LLC | Current | Accepting new patients | |
| Well Nourished LLC | Current | Accepting new patients | |
| Robert Olsen MD Washington PC | Past | 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.
-
- Psychiatry Physician
- Portland, OR
- NPI 1902565930
-
- Psychiatry Physician
- Greenwood Village, CO
- NPI 1154084689
-
- Adult Mental Health Clinic/Center
- Golden, CO
- NPI 1598409468
-
- Psychiatry Physician
- Vancouver, WA
- NPI 1073331948
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.