Individual provider Active NPI

Camille Brunel

  • Mental Health Counselor
  • Denver, CO
National Provider Identifier
1164905089
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1777 S Bellaire St Ste 390
Denver, CO 80222-4350
Phone
(855) 626-4244
NPI assigned
Sep 7, 2018
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1777 S Bellaire St Ste 390
Denver, CO 80222-4350

Mailing address

1777 S Bellaire St Ste 390
Denver, CO 80222-4350
Phone (855) 626-4244

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
I20240801001119 CO Practitioner - Mental Health Counselor 8123565785

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Expansive Self Psychotherapy, LLC Professional Current Accepting new patients
Seattle Counseling Center PastSince Dec 4, 2013 Accepting new patients

Organizations & group practices 2

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": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1164905089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 S BELLAIRE ST STE 390",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224350",
            "telephone_number": "855-626-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 S BELLAIRE ST STE 390",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224350",
            "telephone_number": "855-626-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNEL",
        "first_name": "CAMILLE",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2018-09-07",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.