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Jackie Dee Cunningham , LPC, LMFT

Counselor - Professional β€’ Waco, TX

Active NPI 1093722571 Individual Practitioner Female Practitioner
Practice location in NPPES

6801 Sanger Ave, Ste 201
Waco, TX 767107818

Call 2547411737 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6801 Sanger Ave
Ste 201

Waco, TX 767107818

Telephone 2547411737
Fax 2547411737
Organization at the Same NPPES Address or Phone
Greater Waco Counseling & Wellness, Pllc Facility NPI 1033662317

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Waco and Texas

163 active clinicians are listed under Counselor - Professional with a practice address in Waco, TX (20,742 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Waco

2.5% of these 163 clinicians have the CMS telehealth indicator.

14.1% of these 163 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-02-06
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES TX 9087
Marriage & Family Therapist

NUCC Taxonomy Code: 106H00000X

License # reported to NPPES TX 917

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
156153201 (TX)
Other Identifier Blue Cross Blue Shield
6159LC (TX)
Other Identifier Magellan Health
72716400 (TX)
Other Identifier Value Options
526067 (TX)
Other Identifier United Behavioral Health
290089568 (TX)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2023

Marriage & Family Therapist (license number reported to NPPES: TX 917)

βœ…
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 09, 2007

Registered at 6801 SANGER AVE, STE 201, WACO, TX 767107818 (Tel: 2547411737)

πŸ“
Business Mailing Address (Initial Record) July 09, 2007

Registered at 8208 TEAKWOOD DR, WACO, TX 767122426 (Tel: 2547722780)

πŸ‘€
Provider Name / Credentials (Initial Record) July 09, 2007

Recorded as JACKIE CUNNINGHAM, LPC, LMFT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Counselor (license number reported to NPPES: TX 9087)

🟒
Initial NPI Registration & Enumeration August 01, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1093722571
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2006
Last Update: February 06, 2023
Sole Proprietor: Yes

Mailing Address

8208 Teakwood Dr

Waco, TX 767122426

Phone: 2547722780

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.