Dustin Max Mancini, MA, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPCC0014597 Issued in CO

Practice address

1280 S Ute Ave Ste 16
Aspen, CO 81611-2259

Phone

(970) 309-4732

NPI assigned

Dec 14, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Counseling Aspen PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aspen, CO
  • NPI 1821741745
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513209600000",
    "number": "1194231068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 W HALLAM ST APT 1",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816111158",
            "telephone_number": "970-309-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 S UTE AVE STE 16",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816112259",
            "telephone_number": "970-309-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCINI",
        "first_name": "DUSTIN",
        "middle_name": "MAX",
        "credential": "MA, LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-14",
        "last_updated": "2017-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPCC0014597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Lowell, DDS
• Jeremy Lowell, DDS
• Lsi Aspen Back and Body, LLC
• Natalia Lupi-Peate
• M. Waisman, M.D.P.a.
• Martin Manosevitz, PH.D.
• Charlotte Lockhart Margulies, LCSW
• Susan M. Markwood, B.A.
• Brooke Leigh Marshall, PHARM.D.
• Gladys M Martinez-Augello, MSW,LAC, ACD

• Professional Counselor in Aspen, CO
• Providers in Aspen, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; 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.