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Active NPI 1780305102 Individual Practitioner Female Practitioner

Jacqueline Mary Williston , LPC, LCDC

Counselor - Professional • Azle, TX

Professional Overview & Biography Verified Profile Summary

Jacqueline Williston, LPC, LCDC is a registered healthcare professional specializing in Counselor - Professional in Azle, TX. Practice services are available at 173 W MAIN ST STE 6 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

173 W Main St Ste 6

Azle, TX 760203117

Telephone 8173812290
Fax 8889095191

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Azle, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
12 Specialists

Practicing in Azle, TX (21203 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-09-05
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 85356

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License TX 15454

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Hannah Bell , MS, LPC

Counselor - Professional

NPI 1427872126

Master of Science, Licensed Professional Counselor

Kathleen Denison

Counselor - Professional

NPI 1538864053

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active September 05, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 05, 2022

Registered at 173 W MAIN ST STE 6, AZLE, TX 760203117 (Tel: 8173812290)

📍
Updated Business Mailing Address September 05, 2022

Registered at 901 CLINIC DR STE A110, EULESS, TX 760397453

👤
Provider Name / Credentials Updated September 05, 2022

Recorded as JACQUELINE WILLISTON, LPC, LCDC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2022

Counselor (License #15454 in TX)

🟢
Initial NPI Registration & Enumeration September 05, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780305102
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 05, 2022
Last Update: September 05, 2022
Sole Proprietor: No
Update or Correct Profile

Mailing Address

901 Clinic Dr Ste A110

Euless, TX 760397453

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.