P Praxis·MD
● Active Type 1 · Individual

MRS. Carmen Maria Wyatt, CADAC

Counselor·Lackland Afb, TX· NPI 1053645796 · Enumerated 2009 · 16 years on NPI
Wyatt is 1 of 2 counselor providers in Lackland Afb and 1 of 2629 in Texas.
NPI age
16 years
Enumerated 2009-09-29
Primary specialty
Counselor
Licensed in
DC
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-09-29
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
16 years
↑ 9 yr above median (7 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-09Enumerated in NPPES
2009 2026

Where they practice

Practice location
2200 Berquist Drive, Suite 1
Lackland Afb, TX 78236
📞 2102924452
Mailing address
2200 Berquist Drive, Suite 1
Lackland Afb, TX 78236
📞 2102924452

Specialties

  • Counselor Primary
    Definition to come...
    DC license #2042 taxonomy 101YA0400X

Practice context

Part of a multi-provider practice. 5 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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