Mr. 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. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.