NPIMap

Organization Active NPI

Mindset Counseling Group, PLLC

  • Mental Health Counselor
  • Killeen, TX
National Provider Identifier
1760114219
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MINDSET COUNSELING GROUP, PLLC
Practice address
2301 Clear Creek Rd Ste 206
Killeen, TX 76549-4119
Phone
(254) 987-5150
NPI assigned
Jun 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
John AvrittNPI 1336715259
Title
LPC
Phone
(346) 225-4740

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240405002244 TX Part B Supplier - Clinic/Group Practice 4082052212 Receives reassigned benefits from 4 practitioners
Practice locations: Killeen, TX

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 8

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": "1656028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1760114219",
    "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": "254-987-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSET COUNSELING GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-24",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "AVRITT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "346-225-4740"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "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 Sep 12, 2024; 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.