P Praxis·MD
● Active Type 1 · Individual

Sandra Meagan Fischer, LPC

Counselor·Tyler, TX· NPI 1962279471 · Enumerated 2023 · 2 years on NPI
Fischer is 1 of 101 counselor providers in Tyler and 1 of 11396 in Texas.
NPI age
2 years
Enumerated 2023-12-05
Primary specialty
Counselor
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-12-05
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
2 years
↓ 2 yr below median (4 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-12Enumerated in NPPES
2023 2026

Where they practice

Practice location
100 Independence Pl Ste 201
Tyler, TX 757031327
📞 7132039107
Mailing address
100 Independence Pl Ste 201
Tyler, TX 757031327
📞 7132039107

Specialties

  • Counselor Primary
    Definition to come...
    TX license #81999 taxonomy 101YM0800X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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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