DR. TANYA MONIQUE BALDERRAMA PHD
NPI 1669324356
Counselor - Mental Health in Killeen, TX

Active since February 13, 2026PECOS Enrolled
917 JAMES PARKER CIR, KILLEEN, TX 76542(254) 423-8030 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Tanya Monique Balderrama Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TANYA MONIQUE BALDERRAMA PHD (NPI 1669324356) is an individual mental health provider in Killeen, Texas, licensed in Texas (95183) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1669324356
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. TANYA MONIQUE BALDERRAMACredential: PHD
Location Address917 JAMES PARKER CIRKilleen, TX 76542-7044
Mailing Address917 James Parker CirKilleen, TX 76542-7044 · (254) 423-8030
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 13, 2026
NPPES CertifiedFebruary 13, 2026
✔ NPI 1669324356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in TX · 95183
917 JAMES PARKER CIR, Killeen, TX 76542

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tanya Monique Balderrama Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658855721
PECOS Enrollment IDI20260318000182
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tanya Balderrama reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
2301 CLEAR CREEK RD STE 206
Killeen, TX 76549
  • Reassigned Medicare billing, Texas enrollment
  • 4 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanya Balderrama's NPI number?

The NPI number for Tanya Balderrama is 1669324356. It was assigned to this individual provider in the NPPES registry on February 13, 2026.

Where is Tanya Balderrama located?

Tanya Balderrama practices at 917 James Parker Cir, Killeen, TX 76542. The listed phone number is (254) 423-8030.

What is Tanya Balderrama's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Tanya Balderrama enrolled in Medicare?

Yes. Tanya Balderrama is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tanya Balderrama's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanya Balderrama reassigns Medicare benefits to Mindset Counseling Group, PLLC (Killeen, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tanya Balderrama's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tanya Balderrama accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Tanya Balderrama as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tanya Balderrama was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.