Individual provider Active NPI

John Avritt, LMHC, LPC-S, PHD

  • Mental Health Counselor
  • Killeen, TX
National Provider Identifier
1336715259
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
71008 Issued in TX
Practice address
2301 Clear Creek Rd Ste 206
Killeen, TX 76549-4119
Phone
(254) 218-5525
NPI assigned
Jun 1, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 71008 TX Primary
Mental Health Counselor 101YM0800X 108147 IA

Addresses

Primary practice location

2301 Clear Creek Rd Ste 206
Killeen, TX 76549-4119

Mailing address

2301 Clear Creek Rd Ste 206
Killeen, TX 76549-4119
Phone (346) 225-4740

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409003080 TX Practitioner - Mental Health Counselor 9830537935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindset Counseling Group PLLCGroup PAC ID 4082052212, 2 clinicians

Practice addresses (Care Compare)

2301 Clear Creek Rd
Suite 206
Killeen, TX 76549-4119
Phone (254) 987-5150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
108147IAMDMental Health Counselor
71008TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindset Counseling Group, PLLC Mental Health CurrentSince Jan 29, 2024 Accepting new patients

Locations

2301 Clear Creek Rd
Ste 206
Killeen, TX 76549
Phone (254) 218-5525

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": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1336715259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 CLEAR CREEK RD STE 206",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494119",
            "telephone_number": "346-225-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 CLEAR CREEK RD STE 206",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494119",
            "telephone_number": "254-218-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVRITT",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "LMHC, LPC-S, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-01",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "71008",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "108147",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.