P Praxis·MD
● Active Type 1 · Individual

Kelly Diane Wylie

Counselor·Bandera, TX· NPI 1801673769 · Enumerated 2023 · 2 years on NPI
Wylie is 1 of 15 counselor providers in Bandera and 1 of 2629 in Texas.
NPI age
2 years
Enumerated 2023-09-13
Primary specialty
Counselor
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-09-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2629 active counselor providers in Texas.

NPI age
2 years
↓ 5 yr below median (7 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-09Enumerated in NPPES
2023 2026

Where they practice

Practice location
756 Purple Sage Rd
Bandera, TX 780033981
📞 8302251622
Mailing address
21300 State Highway 16 N Unit 214
Medina, TX 780553819
📞 8303980414

Specialties

  • Counselor Primary
    Definition to come...
    TX license #64298 taxonomy 101YA0400X

Practice context

Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new counselor provider has been added in Bandera 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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