Healthcare Provider Details

I. General information

NPI: 1467984963
Provider Name (Legal Business Name): KATELYN BUETTNER MA, LPC, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2017
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 HEALTH PARK DR STE 290
LOUISVILLE CO
80027-9586
US

IV. Provider business mailing address

90 HEALTH PARK DR STE 290
LOUISVILLE CO
80027-9586
US

V. Phone/Fax

Practice location:
  • Phone: 303-439-8910
  • Fax: 303-439-9134
Mailing address:
  • Phone: 303-439-8910
  • Fax: 303-439-9134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberACB.0008443
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC.0017784
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberACD.0001543
License Number StateCO
# 5
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.19079
License Number StateCO
# 6
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: