MR. RAYMOND L. MIZER MA
NPI 1720526742
Counselor - Professional in Pueblo, CO

Active since February 09, 2017PECOS EnrolledAccepts Medicare Assignment
4 REDONDO LN, PUEBLO, CO 81005(719) 744-7444 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2025, Feb 9, 2017 (2 updates tracked since 2017).

About Mr. Raymond L. Mizer Ma NPPES

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

MR. RAYMOND L. MIZER MA (NPI 1720526742) is an individual professional provider in Pueblo, Colorado, licensed in Colorado (0016196) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1720526742
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. RAYMOND L. MIZERCredential: MA
Location Address4 REDONDO LNPueblo, CO 81005-2953
Mailing Address4 Redondo LnPueblo, CO 81005-2953 · (719) 744-7444
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateFebruary 9, 2017
Last NPPES UpdateOctober 6, 20252 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
✔ NPI 1720526742 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 CO · 0016196
4 REDONDO LN, Pueblo, CO 81005

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Raymond L. Mizer Ma is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698217032
PECOS Enrollment IDI20240612004238
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 Reassignments

2

Medicare enrollment records show Raymond Mizer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Colorado enrollment
  • 940 clinicians in this Medicare group
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Colorado enrollment
  • 160 clinicians in this Medicare group

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

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

Counselor (Mental Health)
4 REDONDO LN
PUEBLO, CO 81005

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 Raymond Mizer's NPI number?

The NPI number for Raymond Mizer is 1720526742. It was assigned to this individual provider in the NPPES registry on February 9, 2017.

Where is Raymond Mizer located?

Raymond Mizer practices at 4 Redondo Ln, Pueblo, CO 81005. The listed phone number is (719) 744-7444.

What is Raymond Mizer's specialty?

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

Is Raymond Mizer enrolled in Medicare?

Yes. Raymond Mizer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Raymond Mizer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raymond Mizer reassigns Medicare benefits to 2 organizations: Sondermind Provider Network LLC (Denver, CO) and Mental Health Specialty Group PA (Durham, NC). Each 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 Raymond Mizer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raymond Mizer accept?

Health plans from Blue Cross and Blue Shield of Texas list Raymond Mizer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Raymond Mizer was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.