MANCOS VALLEY CENTER FOR TRAUMA AND ATTACHMENT
NPI 1215446612
Counselor - Mental Health in Mancos, CO

Q: What is Cole Awdish Lpc LLC's NPI number?

The NPI number for Cole Awdish Lpc LLC is 1215446612. It was assigned to this organization in the NPPES registry on September 28, 2017. The provider is doing business as Mancos Valley Center For Trauma And Attachment.

Q: What is Cole Awdish Lpc LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since September 28, 2017

104 S. MAIN ST, SUITE 3, MANCOS, CO 81328(970) 403-5488(970) 422-7236 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 6, 2024, Mar 17, 2018, Nov 3, 2017 (3 updates tracked since 2017).

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About Mancos Valley Center For Trauma And Attachment NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANCOS VALLEY CENTER FOR TRAUMA AND ATTACHMENT (NPI 1215446612) is a healthcare organization registered as a mental health in Mancos, Colorado and active in the NPI registry since September 2017. The organization maintains a secondary practice location in Durango and lists David Cole Awdish, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1215446612

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameCOLE AWDISH LPC LLC

Location Address104 S. MAIN ST, SUITE 3Mancos, CO 81328

Mailing Address844 Bauer AveMancos, CO 81328-9255 · (970) 403-5488

Phone(970) 403-5488

Fax(970) 422-7236

Organization SubpartNo

Authorized OfficialDavid Cole AwdishOwner/operator · (970) 403-5488

Enumeration DateSeptember 28, 2017

Last NPPES UpdateJune 6, 20243 updates tracked since enumeration

NPPES CertifiedMay 29, 2024

✔ NPI 1215446612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in CO · 0013328

104 S. MAIN ST, Mancos, CO 81328

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Other Names 1

Doing Business AsMancos Valley Center For Trauma And Attachment

Secondary Practice Location 1

Location 12243 Main AveDurango, CO 81301-4699 · Phone (970) 403-5488 ext. 1 · Fax (970) 422-7236

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mancos Valley Center For Trauma And Attachment is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Mancos Valley Center For Trauma And Attachment, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

David Awdish

Mental Health Counselor

NPI 1174929558

104 S. MAIN ST SUITE 3
Mancos, CO 81328

(970) 403-5488

✔ PECOS✔ Accepts MedicareSame address

Danielle Dipiro

Mental Health Counselor

NPI 1184473019

104 S. MAIN ST SUITE #3
Mancos, CO 81328

(970) 403-5486

✔ PECOSSame address

Sarah Hackett, LCSW

Clinical Social Worker

NPI 1619780913

104 S. MAIN ST SUITE 3
Mancos, CO 81328

(970) 403-5496

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cole Awdish Lpc LLC's NPI number?

The NPI number for Cole Awdish Lpc LLC is 1215446612. It was assigned to this organization in the NPPES registry on September 28, 2017. The provider is doing business as Mancos Valley Center For Trauma And Attachment.

Where is Cole Awdish Lpc LLC located?

Cole Awdish Lpc LLC is located at 104 S. Main St Suite 3, Mancos, CO 81328. The listed phone number is (970) 403-5488.

What is Cole Awdish Lpc LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Cole Awdish Lpc LLC enrolled in Medicare?

Yes. Cole Awdish Lpc LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cole Awdish Lpc LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Cole Awdish Lpc LLC, in Clinical Social Worker and Mental Health Counselor. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Cole Awdish Lpc LLC was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.