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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RYAN MULNICK
NPI 1518791003
Counselor - Professional in Taos, NM

Active since August 28, 2024PECOS Enrolled
105 BERTHA RD STE B, TAOS, NM 87571(575) 758-4297 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Ryan Mulnick NPPES

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

RYAN MULNICK (NPI 1518791003) is an individual professional provider in Taos, New Mexico and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1518791003
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameRYAN MULNICK
Location Address105 BERTHA RD STE BTaos, NM 87571-7148
Mailing AddressPo Box 330Taos, NM 87571-0330 · (208) 315-3663
Phone(575) 758-4297
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 28, 2024
Last NPPES UpdateSeptember 23, 2026
NPPES CertifiedSeptember 23, 2026
✔ NPI 1518791003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
105 BERTHA RD STE B, Taos, NM 87571
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Mulnick is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880151216
PECOS Enrollment IDI20260805004998
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA DIAZ LMHC
Marriage & Family Therapist
105 BERTHA RD STE B
TAOS, NM 87571
Taos County (505) 758-4297
CATHERINE SHANK
Case Manager/Care Coordinator
105 BERTHA RD STE B
TAOS, NM 87571
Taos County (575) 758-4297
LAURALEE TRUJILLO
Case Manager/Care Coordinator
105 BERTHA RD STE B
TAOS, NM 87571
Taos County (575) 758-4297
MIGUEL QUINTANA
Case Manager/Care Coordinator
105 BERTHA RD STE B
TAOS, NM 87571
Taos County (575) 758-4297
JOANN VISARRAGA
Case Manager/Care Coordinator
105 BERTHA RD STE B
TAOS, NM 87571
Taos County (575) 758-4297
NIKKI VUE
Peer Specialist
105 BERTHA RD STE B
TAOS, NM 87571
Taos County (575) 758-4297
CK SATTERTHWAITE
Case Manager/Care Coordinator
105 BERTHA RD STE B
TAOS, NM 87571
Taos County (505) 758-4297
LESLY GUERRERO
Case Manager/Care Coordinator
105 BERTHA RD STE B
TAOS, NM 87571
Taos County (575) 758-7958

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 Ryan Mulnick's NPI number?

The NPI number for Ryan Mulnick is 1518791003. It was assigned to this individual provider in the NPPES registry on August 28, 2024.

Where is Ryan Mulnick located?

Ryan Mulnick practices at 105 Bertha Rd Ste B, Taos, NM 87571. The listed phone number is (575) 758-4297.

What is Ryan Mulnick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Ryan Mulnick enrolled in Medicare?

Yes. Ryan Mulnick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Mulnick was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.