NPIMap

Organization Active NPI

Brave Embodiment Counseling LLC

  • Professional Counselor
  • Denver, CO
National Provider Identifier
1700421955
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
BRAVE EMBODIMENT COUNSELING LLC
Practice address
2590 Welton St Ste 200-1005
Denver, CO 80205-3300
Phone
(720) 923-3033
NPI assigned
Nov 12, 2019
Organization subpart
Yes
Parent organization
BRAVE EMBODIMENT COUNSELING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Kimberly Ottinger Massale, LPCNPI 1235493073
Title
Owner
Phone
(720) 923-3033

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

2590 Welton St Ste 200-1005
Denver, CO 80205-3300

Mailing address

2590 Welton St Ste 200-1005
Denver, CO 80205-3300
Phone (720) 222-5033

National Provider Directory

National Provider Directory
Tax ID family
Brave2 organizations share this tax ID, including this one
Part of
Brave

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2150 W 29th Ave
Ste 310
Denver, CO 80211
Phone (720) 903-3033

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

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": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1700421955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 WELTON ST STE 200-1005",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802053300",
            "telephone_number": "720-222-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 WELTON ST STE 200-1005",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802053300",
            "telephone_number": "720-923-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVE EMBODIMENT COUNSELING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRAVE EMBODIMENT COUNSELING LLC",
        "enumeration_date": "2019-11-12",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "MASSALE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "OTTINGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-923-3033",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.