Mr. Jackie Wayne Vaughn Jr.
LPC | Professional Counselor
3800 Hulen St Ste 150, Fort Worth
Texas, 76107-7254
817-255-2652 817-255-2657
Maps & DirectionsMr. Jackie Wayne Vaughn Jr. is a Fort Worth, Texas based counselor who is specialized as Professional Counselor. Active license number of Mr. Jackie Wayne Vaughn Jr. is 57085 for Professional Counselor in Texas. His current practice location is 3800 Hulen St Ste 150, Fort Worth. Patients can book an appointment with him at 817-255-2652.
Mr. Jackie Wayne Vaughn Jr. is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. He uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.
Complete Profile:
Mr. Jackie Wayne Vaughn Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Mr. Jackie Wayne Vaughn Jr. |
| Specialization: | Professional Counselor |
| Gender: | Male |
| Credentials: | LPC |
| Accepts Medicare Assignment: | No |
| Practice Address: | 3800 Hulen St Ste 150, Fort Worth,
Texas, 76107-7254 |
| Phone: | 817-255-2652 |
| Fax: | 817-255-2657 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1013159045 |
| NPI Enumeration Date: | 06 Apr, 2009 |
| NPI Last Update On: | 17 Jan, 2012 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Jackie Wayne Vaughn Jr. are as mentioned below.
| License Number | Specialization | State | Status | |
| 57085 | Professional Counselor | Texas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Jackie Wayne Vaughn Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 203131201 | Medicaid | Texas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3131 Sanguinet St,
Fort Worth, Texas |
| Zip: | 76107-5336 |
| Phone Number: | 817-255-2652 |
| Fax Number: | 817-255-2657 |
Patients can reach Mr. Jackie Wayne Vaughn Jr. at
3800 Hulen St Ste 150, Fort Worth, Texas or can
call to book an appointment on 817-255-2652.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.