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Mr. Jackie Wayne Vaughn Jr., LPC

Professional Counselor in Fort Worth, TX · enumerated 2009.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013159045

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Registry record

Entity type Individual (Type 1)
Name Mr. Jackie Wayne Vaughn Jr.
Credential LPC
Sex Male
Practice address 3800 Hulen St Ste 150, Fort Worth, TX, 76107
Phone (817) 255-2652
Fax (817) 255-2657
Enumeration date Apr 6, 2009
Last updated in NPPES Jan 17, 2012

Taxonomy & licenses

101YP2500X Professional Counselor Behavioral Health & Social Service Providers · License 57085 (TX) Primary
LPC · Licensed Professional Counselor: A licensed mental-health counselor providing psychotherapy. About the LPC credential

Other identifiers

Identifier Type State Issuer
203131201 Medicaid TX -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Jackie Vaughn practice?
The practice location on file with NPPES is in Fort Worth, TX. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jackie Vaughn?
The National Provider Identifier (NPI) for Jackie Vaughn is 1013159045, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-01-17.