Ryan J Mullins, CMS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.185846 Issued in OH

Practice address

401 Center St FRNT B
Ironton, OH 45638-1519

Phone

(740) 479-5135

NPI assigned

Oct 18, 2018

Last updated

Dec 19, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spectrum Outreach Services, LTD

  • Community/Behavioral Health Agency
  • Ironton, OH
  • NPI 1013969666

  Addiction (Substance Use Disorder)

  NPD (past)
• Spectrum Outreach Services, LTD

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ironton, OH
  • NPI 1699254300
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1285100156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CENTER ST FRNT B",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381519",
            "telephone_number": "740-479-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CENTER ST FRNT B",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381519",
            "telephone_number": "740-479-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "RYAN",
        "middle_name": "J",
        "credential": "CMS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-18",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.185846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Morrow
• Jamie Mountjoy
• Allison Mowery, LICDC/LSW
• Gwendolynn Mullett, LSW
• Jason E Mullins, CDCA/QMHS
• Shirley Sue Mullins
• Ty Bond Mullins
• Tyler Alan Mullins
• Ryan Munion, LPN
• James Munson

• Addiction (Substance Use Disorder) Counselor in Ironton, OH
• Providers in Ironton, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.