P Praxis·MD
● Active Type 1 · Individual

Jerry J. Mungadze, PHD., LPC

Counselor·Bedford, TX· NPI 1356490080 · Enumerated 2007 · 19 years on NPI
Mungadze is 1 of 32 counselor providers in Bedford and 1 of 11396 in Texas.
NPI age
19 years
Enumerated 2007-01-10
Primary specialty
Counselor
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 11396 active counselor providers in Texas.

NPI age
19 years
↑ 15 yr above median (4 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
2040 Bedford Rd Ste 200
Bedford, TX 760215871
📞 8173541389
Mailing address
2040 Bedford Rd Ste 200
Bedford, TX 760215871
📞 8173541389

Specialties

  • Counselor Primary
    Definition to come...
    TX license #10315 taxonomy 101YM0800X

Identifiers

TypeValueNotes
01 (TX) 7323LC BLUECROSS BLUE SHIELD

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 3 new counselor providers have been added in Bedford in the last 180 days. See all →
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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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