Individual provider Active NPI

Vivian Lee Dennison, MS, LPC, LCDC

  • Professional Counselor
  • Killeen, TX
National Provider Identifier
1922617315
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
83983 Issued in TX
Practice address
1519 Florence Rd Ste 5
Killeen, TX 76541-7904
Phone
(254) 300-7798
Fax
(254) 300-9938
NPI assigned
Jul 30, 2020
Last updated
Dec 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 13961 TX
Mental Health Counselor 101YM0800X 83983 TX
Professional Counselor 101YP2500X 83983 TX Primary

Addresses

Primary practice location

1519 Florence Rd Ste 5
Killeen, TX 76541-7904

Mailing address

1519 Florence Rd Ste 5
Killeen, TX 76541-7904
Phone (254) 300-7798

Other practice location 1

3300 E Central Texas Expy Ste 301
Killeen, TX 76543-5674
Phone (254) 791-5815

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
I20251211002940 TX Practitioner - Mental Health Counselor 5193219608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Texas a & M University System, HSC, College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

122 Nelson Dr
Copperas Cove, TX 76522-1848

1519 Florence Rd
Suite 5
Killeen, TX 76541-7903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
13961TXMDAddiction (Substance Use Disorder) Counselor
83983TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gardner Industries, LLC CurrentSince Dec 1, 2025 Accepting new patients
Butterflies Prospering Wellness Co. Professional PastSince Sep 21, 2025 Accepting new patients

Locations

331 Indian Trl
Ste 109
Harker Heights, TX 76548
Phone (254) 300-7798

1519 Florence Rd
Ste 5
Killeen, TX 76541
Phone (254) 300-7798

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1922617315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 FLORENCE RD STE 5",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765417904",
            "telephone_number": "254-300-7798",
            "fax_number": "254-300-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 FLORENCE RD STE 5",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765417904",
            "telephone_number": "254-300-7798",
            "fax_number": "254-300-9938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 E Central Texas Expy Ste 301",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765435674",
            "country_code": "US",
            "telephone_number": "254-791-5815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENNISON",
        "first_name": "VIVIAN",
        "middle_name": "LEE",
        "credential": "MS, LPC, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13961",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "83983",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "83983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.