Individual provider Active NPI

Tanya Monique Balderrama, PHD

  • Mental Health Counselor
  • Killeen, TX
National Provider Identifier
1669324356
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
95183 Issued in TX
Practice address
917 James Parker Cir
Killeen, TX 76542-7044
Phone
(254) 423-8030
NPI assigned
Feb 13, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 95183 TX Primary

Addresses

Primary practice location

917 James Parker Cir
Killeen, TX 76542-7044

Mailing address

917 James Parker Cir
Killeen, TX 76542-7044
Phone (254) 423-8030

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
I20260318000182 TX Practitioner - Mental Health Counselor 1658855721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

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

917 James Parker Cir
Killeen, TX 76542-7044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95183TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindset Counseling Group, PLLC Mental Health CurrentSince Feb 9, 2026 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": "1770940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1669324356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 JAMES PARKER CIR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765427044",
            "telephone_number": "254-423-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 JAMES PARKER CIR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765427044",
            "telephone_number": "254-423-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDERRAMA",
        "first_name": "TANYA",
        "middle_name": "MONIQUE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-13",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "95183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.