P Praxis·MD
● Active Type 1 · Individual

MR. Joe Michael Waller, LPC

Counselor·Mineola, TX· NPI 1790375103 · Enumerated 2021 · 5 years on NPI
Waller is 1 of 9 counselor providers in Mineola and 1 of 23131 in Texas.
NPI age
5 years
Enumerated 2021-01-20
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2022-08-15
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 23131 active counselor providers in Texas.

NPI age
5 years
↓ 2 yr below median (7 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
1
In the 20% of peers with subspecialties

NPI lifetime · 2021 → 2026

2021-01Enumerated in NPPES
2021 2026

Where they practice

Practice location
703 W Patten St
Mineola, TX 757731541
📞 9035695409fax 9003535738
Mailing address
2323 W Front St
Tyler, TX 757027704
📞 9035357421fax 9035357384

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2323 W Front St
Tyler, TX 757027747
📞 9035357421fax 9035357384

Specialties

  • Counselor Primary
    Definition to come...
    taxonomy 101YP2500X
  • Counselor
    Definition to come...
    taxonomy 101YS0200X

Identifiers

TypeValueNotes
05 (TX) 419100901

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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