RYAN K MIXON
NPI 1881162964
Counselor - Addiction (Substance Use Disorder) in Converse, TX

Active since November 07, 2018
4106 WINCHESTER CV, CONVERSE, TX 78109(210) 992-5646 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 30, 2025, Nov 7, 2018 (2 updates tracked since 2018).

About Ryan K Mixon NPPES

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

RYAN K MIXON (NPI 1881162964) is an individual addiction (substance use disorder) provider in Converse, Texas, licensed in Texas (13626) and active in the NPI registry since November 2018. He maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1881162964
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameRYAN K MIXON
Location Address4106 WINCHESTER CVConverse, TX 78109-0738
Mailing Address6800 Park Ten Blvd Ste 200sSan Antonio, TX 78213-4293 · (210) 261-1000 · Fax (210) 261-1821
Sole ProprietorYes
Enumeration DateNovember 7, 2018
Last NPPES UpdateMay 30, 20252 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
NPI 1881162964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in TX · 13626
4106 WINCHESTER CV, Converse, TX 78109

Secondary Practice Location 1

Location 11747 Citadell Plz Ste 205San Antonio, TX 78209-1017 · Phone (210) 467-5395

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Mixon's NPI number?

The NPI number for Ryan Mixon is 1881162964. It was assigned to this individual provider in the NPPES registry on November 7, 2018.

Where is Ryan Mixon located?

Ryan Mixon practices at 4106 Winchester Cv, Converse, TX 78109. The listed phone number is (210) 992-5646.

What is Ryan Mixon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Ryan Mixon was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.