Active NPI
Expansive Self Psychotherapy, LLC
- Professional Counselor
- Golden, CO
National Provider Identifier
1174451876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- EXPANSIVE SELF PSYCHOTHERAPY, LLC
- Practice address
- 915A 11TH St
Golden, CO 80401-1105 - Phone
- (720) 575-0977
- NPI assigned
- May 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Camille Brunel, LPC
- Title
- Owner, Therapist
- Phone
- (720) 575-0977
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
915A 11TH St
Golden, CO 80401-1105
Mailing address
619 12TH St # 523
Golden, CO 80401-1108
Phone (720) 575-0977
National Provider Directory
National Provider DirectoryLocations
619 12th St
#523
Golden, CO 80401
915 11th St
#A
Golden, CO 80401
Phone (720) 575-0977
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778544000000",
"number": "1174451876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 12TH ST # 523",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804011108",
"telephone_number": "720-575-0977",
"fax_number": "720-815-0258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915A 11TH ST",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804011105",
"telephone_number": "720-575-0977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXPANSIVE SELF PSYCHOTHERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-12",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A",
"authorized_official_last_name": "BRUNEL",
"authorized_official_first_name": "CAMILLE",
"authorized_official_title_or_position": "OWNER, THERAPIST",
"authorized_official_telephone_number": "720-575-0977",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"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 May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.