P Praxis·MD
● Active Type 1 · Individual

Shaunda Rena Petty

Counselor·Tyler, TX· NPI 1447145453 · Enumerated 2025 · 0 years on NPI
Petty is 1 of 101 counselor providers in Tyler and 1 of 11396 in Texas.
NPI age
— years
Enumerated 2025-06-10
Primary specialty
Counselor
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-06-10
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
0 years
↓ 4 yr below median (4 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties

NPI lifetime · 2025 → 2026

2025-06Enumerated in NPPES
2025 2026

Where they practice

Practice location
719 W Front St Ste 262
Tyler, TX 757027975
📞 9036363868
Mailing address
719 W Front St Ste 262
Tyler, TX 757027975
📞 9036363868

Specialties

  • Counselor Primary
    Definition to come...
    TX license #96260 taxonomy 101YM0800X

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: 7 new counselor providers have been added in Tyler 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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