Individual provider Active NPI

Jennifer Cavazos, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Killeen, TX
National Provider Identifier
1295627305
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1192424 Issued in TX
Practice address
809 S W S Young Dr
Killeen, TX 76543-4801
Phone
(254) 226-3090
NPI assigned
Jul 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1192424 TX Primary

Addresses

Primary practice location

809 S W S Young Dr
Killeen, TX 76543-4801

Mailing address

809 S W S Young Dr
Killeen, TX 76543-4801
Phone (254) 226-3090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250808001126 TX Practitioner - Nurse Practitioner 7315445467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freedom Behavioral Health - Killeen PLLCGroup PAC ID 3173050440, 9 clinicians

Practice addresses (Care Compare)

809 S W S Young Dr
Killeen, TX 76543-4801
Phone (254) 226-3090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Behavioral Health - Killeen PLLC CurrentSince Jul 25, 2025 Accepting new patients

Locations

809 S W S Young Dr
Killeen, TX 76543
Phone (254) 226-3090

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1295627305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 S W S YOUNG DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765434801",
            "telephone_number": "254-226-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 S W S YOUNG DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765434801",
            "telephone_number": "254-226-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVAZOS",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1192424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.