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MR. JACKIE WAYNE VAUGHN JR. LPC
NPI 1013159045
Counselor - Professional in Fort Worth, TX

Active since April 06, 2009
3800 HULEN ST STE 150, FORT WORTH, TX 76107(817) 255-2652(817) 255-2657 Get Directions Write a Review

NPPES record last updated: January 17, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jackie Wayne Vaughn Jr. Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JACKIE WAYNE VAUGHN JR. LPC (NPI 1013159045) is an individual professional provider in Fort Worth, Texas, licensed in Texas (57085) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1013159045
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. JACKIE WAYNE VAUGHN JR.Credential: LPC
Location Address3800 HULEN ST STE 150Fort Worth, TX 76107-7254
Mailing Address3131 Sanguinet StFort Worth, TX 76107-5336 · (817) 255-2652 · Fax (817) 255-2657
Phone(817) 255-2652
Fax(817) 255-2657
Sole ProprietorNo
Enumeration DateApril 6, 2009
Last NPPES UpdateJanuary 17, 2012
✔ NPI 1013159045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 57085
3800 HULEN ST STE 150, Fort Worth, TX 76107
Open in Google Maps ↗

Other Identifiers 1

Medicaid203131201TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANTHONY T. MACHI M.D.
Psychologist (Prescribing (Medical))
3800 HULEN ST STE 150
FORT WORTH, TX 76107
Tarrant County (817) 255-2608
SONYA MOSLEY LCSW
Social Worker (Clinical)
3800 HULEN ST STE 150
FORT WORTH, TX 76107
Tarrant County (817) 255-2652
PAIGE WILSON CHAMBERS LCSW-ACP
Social Worker (Clinical)
3800 HULEN ST STE 150, ATT: CREDENTIALNG
FORT WORTH, TX 76107
Tarrant County (817) 255-2670

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Vaughn's NPI number?

The NPI number for Jackie Vaughn is 1013159045. It was assigned to this individual provider in the NPPES registry on April 6, 2009.

Where is Jackie Vaughn located?

Jackie Vaughn practices at 3800 Hulen St Ste 150, Fort Worth, TX 76107. The listed phone number is (817) 255-2652.

What is Jackie Vaughn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Jackie Vaughn accept?

Health plans from Blue Cross and Blue Shield of Texas list Jackie Vaughn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackie Vaughn was last updated on January 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.