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STACEY MCMULLEN MSW
NPI 1548744071
Counselor - Professional in Santa Fe, NM

Active since September 20, 2018PECOS Enrolled
1501 CERRILLOS RD, SANTA FE, NM 87505(505) 216-7325(505) 395-7406 Get Directions Write a Review

NPPES record last updated: September 20, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Stacey Mcmullen Msw NPPES

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

STACEY MCMULLEN MSW (NPI 1548744071) is an individual professional provider in Santa Fe, New Mexico, licensed in New Mexico (X-10748) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1548744071
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTACEY MCMULLENCredential: MSW
Location Address1501 CERRILLOS RDSanta Fe, NM 87505-3521
Mailing AddressPo Box 23625Santa Fe, NM 87502-3625 · (505) 660-8559
Phone(505) 216-7325
Fax(505) 395-7406
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 20, 2018
✔ NPI 1548744071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NM · X-10748
1501 CERRILLOS RD, Santa Fe, NM 87505
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Mcmullen Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426575291
PECOS Enrollment IDI20250506000108
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.

Medicare Billing Reassignment

Medicare enrollment records show Stacey Mcmullen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bluejay Counseling
52 mi
Mental Health
3301 MONROE ST NE UNIT N139
Albuquerque, NM 87110
  • Reassigned Medicare billing, New Mexico enrollment
  • 5 clinicians in this Medicare group
NPI 1902551690 (619) 997-9637

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

Other Providers at the Same Location NPPES 5

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

CASSANDRA CORIZ
Specialist/Technologist (Athletic Trainer)
1501 CERRILLOS RD
SANTA FE, NM 87505
Santa Fe County (505) 989-6000
MILTON SANCHEZ LMSW
Social Worker (Clinical)
1501 CERRILLOS RD
SANTA FE, NM 87505
Santa Fe County (505) 989-6300
SANTA FE INDIAN SCHOOL
Counselor (Professional)
1501 CERRILLOS RD
SANTA FE, NM 87505
Santa Fe County (505) 216-7493
GERALDINE LOVATO
Counselor (Addiction (Substance Use Disorder))
1501 CERRILLOS RD
SANTA FE, NM 87505
Santa Fe County (505) 985-2420
MISS DESIREE DAWN HANDLEY LMHC
Counselor (Mental Health)
1501 CERRILLOS RD
SANTA FE, NM 87505
Santa Fe County (505) 216-7493

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 Stacey Mcmullen's NPI number?

The NPI number for Stacey Mcmullen is 1548744071. It was assigned to this individual provider in the NPPES registry on September 20, 2018.

Where is Stacey Mcmullen located?

Stacey Mcmullen practices at 1501 Cerrillos Rd, Santa Fe, NM 87505. The listed phone number is (505) 216-7325.

What is Stacey Mcmullen's specialty?

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

Is Stacey Mcmullen enrolled in Medicare?

Yes. Stacey Mcmullen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacey Mcmullen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Mcmullen reassigns Medicare benefits to Bluejay Counseling (Albuquerque, NM). The 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 Stacey Mcmullen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stacey Mcmullen was last updated on September 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.