P Praxis·MD
● Active Type 1 · Individual

Shantale Etheridge

Counselor·Killeen, TX· NPI 1801338538 · Enumerated 2016 · 9 years on NPI
Etheridge is 1 of 140 counselor providers in Killeen and 1 of 23131 in Texas.
NPI age
9 years
Enumerated 2016-11-11
Primary specialty
Counselor
Licensed in
MS
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-06-18
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
9 years
↑ 2 yr above median (7 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-11Enumerated in NPPES
2016 2026

Where they practice

Practice location
2403 W Stan Schlueter Loop Unit 690125
Killeen, TX 765490206
📞 2544992905
Mailing address
2403 W Stan Schlueter Loop Unit 690125
Killeen, TX 765490206
📞 2544992905

Specialties

  • Counselor Primary
    Definition to come...
    MS license #1920 taxonomy 101YP2500X

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: 5 new counselor providers have been added in Killeen 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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