Individual provider Active NPI

Matthew Mlynarczyk

  • Marriage & Family Therapist
  • Mancos, CO
National Provider Identifier
1891132239
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT.0001717 Issued in CO
Practice address
114 East Main Ave. #4
Mancos, CO 81328
Phone
(303) 598-0225
Fax
(970) 074-9767
NPI assigned
May 24, 2013
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT.0001717 CO Primary

Addresses

Primary practice location

114 East Main Ave. #4
Mancos, CO 81328

Mailing address

114 East Main Ave. #4
Mancos, CO 81328
Phone (303) 598-0225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1891132239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 EAST MAIN AVE. #4",
            "city": "MANCOS",
            "state": "CO",
            "postal_code": "81328",
            "telephone_number": "303-598-0225",
            "fax_number": "970-747-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 EAST MAIN AVE. #4",
            "city": "MANCOS",
            "state": "CO",
            "postal_code": "81328",
            "telephone_number": "303-598-0225",
            "fax_number": "970-074-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MLYNARCZYK",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-24",
        "last_updated": "2026-10-02",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT.0001717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mancos, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; 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.