Mr Jackie Wayne Vaughn Jr, LPC - Counselor in Fort Worth, TX

Mr Jackie Wayne Vaughn Jr, LPC is a Counselor - Professional based in Fort Worth, Texas. Mr Jackie Wayne Vaughn Jr is licensed to practice in Texas (license number 57085) and his current practice location is 3800 Hulen St Ste 150, Fort Worth, Texas. He can be reached at his office (for appointments etc.) via phone at (817) 255-2652.

NPI number for Mr Jackie Wayne Vaughn Jr is 1013159045 and his current mailing address is 3131 Sanguinet St, Fort Worth, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013159045.

Contact Information

Mr Jackie Wayne Vaughn Jr, LPC
3800 Hulen St Ste 150,
Fort Worth, TX 76107-7254
(817) 255-2652
(817) 255-2657

Map and Direction


Healthcare Provider's Profile

Full NameMr Jackie Wayne Vaughn Jr
GenderMale
SpecialityCounselor - Professional
Location3800 Hulen St Ste 150, Fort Worth, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013159045
  • Provider Enumeration Date: 04/06/2009
  • Last Update Date: 01/17/2012

Medical Identifiers

Medical identifiers for Mr Jackie Wayne Vaughn Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013159045NPI-NPPES
203131201MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 57085 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jackie Wayne Vaughn Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Jackie Wayne Vaughn Jr, LPC
3131 Sanguinet St,
Fort Worth, TX 76107-5336

Ph: (817) 255-2652
Mr Jackie Wayne Vaughn Jr, LPC
3800 Hulen St Ste 150,
Fort Worth, TX 76107-7254

Ph: (817) 255-2652

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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