P Praxis·MD
● Active Type 1 · Individual

Amy Vitacolonna, MS

Counselor·Lake Jackson, TX· NPI 1497116875 · Enumerated 2016 · 10 years on NPI
Vitacolonna is 1 of 9 counselor providers in Lake Jackson and 1 of 11396 in Texas.
NPI age
10 years
Enumerated 2016-03-14
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
WA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-04-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 11396 active counselor providers in Texas.

NPI age
10 years
↑ 6 yr above median (4 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-03Enumerated in NPPES
2016 2026

Where they practice

Practice location
117 Indian Warrior Trl
Lake Jackson, TX 775663253
📞 3603498775fax 8438970100
Mailing address
Po Box 15
Angleton, TX 775160015
📞 3603498775

Specialties

  • Counselor Primary
    Definition to come...
    WA license #LH60943631 taxonomy 101YM0800X

Identifiers

TypeValueNotes
01 (WA) LH60943631 WASHINGTON STATE DEPARTMENT OF HEALTH
01 (SC) 8246 SOUTH CAROLINA LICENSING BOARD FOR COUNSELORS
01 (WA) 85-2743925 IRS
01 (TX) 95893 TEXAS BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS

Practice context

Solo or small practice. No 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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