Amy Halstead, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Basalt, CO
NPI 1790357986 · NPPES record last updated Sep 6, 2024
Key facts
- NPI
- 1790357986
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APN.0996693-NP (CO)
- Practice address
- 141 Kodiak Dr Unit 202
Basalt, CO 81621-8130 - Phone
- (970) 279-1472
- NPI assigned
- Jul 15, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Next Breath Counseling, LLC
Practice addresses (Care Compare)
1319 Grand Ave
Glenwood Springs, CO 81601-3842
Phone (970) 260-0868
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230703001854 | CO | Practitioner - Nurse Practitioner | 7911366323 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0996693-NP | CO | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Breath Psychology LLP | Current |
Accepting new patients | |
| Balanced Mental Wellness LLC | Current |
Accepting new patients | |
| Next Breath Counseling, LLC | Current |
Accepting new patients |
Locations
3470 S Sherman St
Ste 3
Englewood, CO 80113
Phone (303) 481-3489
1319 Grand Ave
Glenwood Springs, CO 81601
Phone (970) 260-0868
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN.0996693-NP | CO | Yes |
Addresses
Primary practice location
141 Kodiak Dr Unit 202
Basalt, CO 81621-8130
Mailing address
141 Kodiak Dr Unit 202
Basalt, CO 81621-8130
Phone (970) 279-1472
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
Other providers in Basalt, CO
- Paul L Glick
- Stephanie Rose Gorman
- Growth Early Childhood Behavior Consulting
- Jonathan James Haerter
- Haley Yost - Pediatric PT LLC
- Angela D Hannula
- Mallory T Harling
- Alice Catherine Harvey
- Healthy All Together
- Heartwood Health Group LLC
All providers in Basalt, CO · Psychiatric/Mental Health Nurse Practitioner in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.