NPIMap

Organization Active NPI

Freedom Behavioral Health - Killeen PLLC

  • Psychiatry Physician
  • Killeen, TX
National Provider Identifier
1679309561
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
FREEDOM BEHAVIORAL HEALTH - KILLEEN PLLC
Practice address
809 S W S Young Dr
Killeen, TX 76543-4801
Phone
(254) 226-3090
Fax
(888) 595-2540
NPI assigned
Sep 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Kerry Brooke Clemetson
Title
Billing Manager
Phone
(913) 475-7713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 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

Other practice location 1

8207 Callaghan Rd Ste 200
San Antonio, TX 78230-4736
Phone (210) 646-1570

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241227000400 TX Part B Supplier - Clinic/Group Practice 3173050440 Receives reassigned benefits from 12 practitioners
Practice locations: Killeen, TX; San Antonio, TX

National Provider Directory

National Provider Directory

Locations

8207 Callaghan Rd
Ste 200
San Antonio, TX 78230
Phone (210) 646-1570

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1679309561",
    "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",
            "fax_number": "888-595-2540"
        },
        {
            "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",
            "fax_number": "888-595-2540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8207 Callaghan Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782304736",
            "country_code": "US",
            "telephone_number": "210-646-1570",
            "fax_number": "800-595-2540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FREEDOM BEHAVIORAL HEALTH - KILLEEN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "CLEMETSON",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "913-475-7713"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.