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Breonna Shanice Willis , LCSW

Counselor β€’ Killeen, TX

Active NPI 1871198994 Individual Practitioner Female Practitioner
Practice location in NPPES

500 W Libra Dr
Killeen, TX 765426518

Call 8509805562 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

500 W Libra Dr

Killeen, TX 765426518

Telephone 8509805562

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Killeen and Texas

21 active clinicians are listed under Counselor with a practice address in Killeen, TX (3,395 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Killeen

0% of these 21 clinicians have the CMS telehealth indicator.

14.3% of these 21 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-09-18
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES FL SW26550

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Children's Home Society
62395 (FL)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location September 18, 2026

Registered at 500 W LIBRA DR, KILLEEN, TX 765426518 (Tel: 8509805562)

πŸ“
Updated Business Mailing Address September 18, 2026

Registered at 500 W LIBRA DR, KILLEEN, TX 765426518 (Tel: 8509805562)

πŸ‘€
Provider Name / Credentials Updated September 18, 2026

Recorded as BREONNA WILLIS, LCSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2026

Counselor (license number reported to NPPES: FL SW26550)

βœ…
NPI Profile Active December 04, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 04, 2020

Registered at 482 S KELLER RD, ORLANDO, FL 328106130 (Tel: 6892043341)

πŸ“
Business Mailing Address (Initial Record) December 04, 2020

Registered at 482 S KELLER RD, ORLANDO, FL 328106130 (Tel: 6892043341)

πŸ‘€
Provider Name / Credentials (Initial Record) December 04, 2020

Recorded as BREONNA WILLIS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2020

Counselor

🟒
Initial NPI Registration & Enumeration December 04, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1871198994
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2020
Last Update: September 18, 2026
Sole Proprietor: Yes

Mailing Address

500 W Libra Dr

Killeen, TX 765426518

Phone: 8509805562

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.