Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093722571 Individual Practitioner Female Practitioner

Jackie Dee Cunningham , LPC, LMFT

Counselor - Professional • Waco, TX

Professional Overview & Biography Verified Profile Summary

Jackie Cunningham, LPC, LMFT is a registered healthcare professional specializing in Counselor - Professional in Waco, TX. Practice services are available at 6801 SANGER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6801 Sanger Ave
Ste 201

Waco, TX 767107818

Telephone 2547411737
Fax 2547411737
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Waco, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.8 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
168 Specialists

Practicing in Waco, TX (21203 Statewide)

Telehealth Adoption Rate
2.4% 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: 2023-02-06
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License TX 9087

Definition to come...

Marriage & Family Therapist

NUCC Taxonomy Code: 106H00000X

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
156153201 (TX)
Commercial Insurance / Payer ID Blue Cross Blue Shield
6159LC (TX)
Commercial Insurance / Payer ID Magellan Health
72716400 (TX)
Commercial Insurance / Payer ID Value Options
526067 (TX)
Commercial Insurance / Payer ID United Behavioral Health
290089568 (TX)

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1750366183

Licensed Professional Counselor

NPI 1780963819

Doctor of Philosophy (Ph.D.)

Robyn Hicks , LCSW

Social Worker - Clinical

NPI 1801003413

Licensed Clinical Social Worker

Career & Practice History Timeline

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

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

Marriage & Family Therapist (License #917 in TX)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

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

📍
Updated Business Mailing Address July 09, 2007

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

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as JACKIE CUNNINGHAM, LPC, LMFT

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

Counselor (License #9087 in TX)

🟢
Initial NPI Registration & Enumeration August 01, 2006

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: 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

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.