Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jackie Wayne Vaughn Jr., LPC

Individual provider Professional Counselor · NPI 1013159045

Mr. Jackie Wayne Vaughn Jr., LPC is a Professional Counselor in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2009.

Licensed in
TX
In the registry since
2009
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

3800 Hulen St Ste 150
Fort Worth, TX 76107-7254
Phone: (817) 255-2652
Fax: (817) 255-2657
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 57085 (TX)

Record details

NPI number1013159045
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedApril 6, 2009
Last updated in NPPESJanuary 17, 2012

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