P Praxis·MD
● Active Type 1 · Individual

Melissa Ann Ibanez, LCDC

Counselor·Deer Park, TX· NPI 1023764859 · Enumerated 2022 · 4 years on NPI
Ibanez is 1 of 9 counselor providers in Deer Park and 1 of 2629 in Texas.
NPI age
4 years
Enumerated 2022-03-02
Primary specialty
Counselor
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-03-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2629 active counselor providers in Texas.

NPI age
4 years
↓ 3 yr below median (7 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-03Enumerated in NPPES
2022 2026

Where they practice

Practice location
4525 Glenwood Ave
Deer Park, TX 775367901
📞 7139099533
Mailing address
4525 Glenwood Ave
Deer Park, TX 775367901

Specialties

  • Counselor Primary
    Definition to come...
    TX license #15780 taxonomy 101YA0400X

Practice context

Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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