Kimberly Ottinger Massale, MA, LCPC | |
2590 Welton St Ste 2001005, Denver, CO 80205-3300 | |
(720) 222-5033 | |
Not Available |
Full Name | Kimberly Ottinger Massale |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 2590 Welton St Ste 2001005, Denver, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235493073 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LC4403 (Maryland) | Primary |
Entity Name | Brave Embodiment Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053828525 PECOS PAC ID: 6406217181 Enrollment ID: O20230727001497 |
Mailing Address | Practice Location Address |
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Kimberly Ottinger Massale, MA, LCPC 2590 Welton St Ste 2001005, Denver, CO 80205-3300 Ph: (720) 222-5033 | Kimberly Ottinger Massale, MA, LCPC 2590 Welton St Ste 2001005, Denver, CO 80205-3300 Ph: (720) 222-5033 |
Ms. Leilani Tomo Blashill, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 456 Bannock St., Denver, CO 80204 Phone: 303-504-1700 Fax: 303-733-8239 | |
Ziphora Chaim, Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 S Broadway, Suite 100, Denver, CO 80209 Phone: 303-603-3020 | |
Keith Reid Kendall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 S Broadway, Ste 100, Denver, CO 80209 Phone: 303-603-3020 | |
Ronald J Meyer, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2130 Stout St, Denver, CO 80205 Phone: 303-312-9601 | |
Dwayne K Harris, CAC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 1155 Cherokee St, Denver, CO 80204 Phone: 303-436-6000 | |
Amber L Surls, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8190 E 1st Ave, Suite 105, Denver, CO 80230 Phone: 303-731-8900 Fax: 303-367-7910 | |
Mrs. Lucia Divieste-severtson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1740 Marion St, Denver, CO 80218 Phone: 720-412-7858 |