NPIMap

Organization Active NPI

Freedom Behavioral Health Texas PLLC

  • Psychiatry Physician
  • El Paso, TX
National Provider Identifier
1568227015
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
FREEDOM BEHAVIORAL HEALTH TEXAS PLLC
Practice address
6601 Montana Ave Ste J
El Paso, TX 79925-2143
Phone
(915) 234-6227
Fax
(877) 839-4682
NPI assigned
Feb 14, 2024
Last updated
Sep 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Authorized official

Name
Kerry Clemetson
Title
Director of Billing/Credentialing
Phone
(913) 405-9458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

6601 Montana Ave Ste J
El Paso, TX 79925-2143

Mailing address

6601 Montana Ave Ste J
El Paso, TX 79925-2143
Phone (915) 234-6227

Other practice location 1

809 S W S Young Dr
Killeen, TX 76543-4801
Phone (915) 249-6227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240424003463 TX Part B Supplier - Clinic/Group Practice 9133569189 Receives reassigned benefits from 6 practitioners
Practice locations: El Paso, TX; Killeen, TX

National Provider Directory

National Provider Directory

Locations

6601 Montana Ave
Ste J
El Paso, TX 79925
Phone (915) 234-6227

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1568227015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 MONTANA AVE STE J",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799252143",
            "telephone_number": "915-234-6227",
            "fax_number": "877-839-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 MONTANA AVE STE J",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799252143",
            "telephone_number": "915-234-6227",
            "fax_number": "877-839-4682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 S W S Young Dr",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765434801",
            "country_code": "US",
            "telephone_number": "915-249-6227",
            "fax_number": "915-249-6227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FREEDOM BEHAVIORAL HEALTH TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "CLEMETSON",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING/CREDENTIALING",
        "authorized_official_telephone_number": "913-405-9458"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.