MRS. JACKIE DEE CUNNINGHAM LPC LMFT NPI 1093722571

NPI Information

NPI: 1093722571
Provider Name: MRS. JACKIE DEE CUNNINGHAM, LPC, LMFT
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
6801 SANGER AVE
STE 201
WACO, TX
ZIP 76710
Phone: (254) 741-1737
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MRS. Jackie Dee Cunningham, LPC, LMFT is a professional counselor in Waco, TX. MRS. Jackie Dee Cunningham, LPC, LMFT NPI is 1093722571. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6801 SANGER AVE
STE 201
WACO, TX
ZIP 76710-818
Phone: (254) 741-1737
Fax: (254) 741-1737

The enumeration date for this NPI number is 8/1/2006 and was last updated on 2/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	106H00000X	Marriage & Family Therapist		917	TEXAS	No
2	101YP2500X	Counselor	Professional	9087	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6159LC	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
2	156153201	MEDICAID	TEXAS
3	72716400	OTHER	TEXAS	MAGELLAN HEALTH
4	526067	OTHER	TEXAS	VALUE OPTIONS
5	290089568	OTHER	TEXAS	UNITED BEHAVIORAL HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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