MRS. JACKIE DEE CUNNINGHAM (NPI# 1093722571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093722571 |
| Entity Type | Individual |
| Full Name | MRS. JACKIE DEE CUNNINGHAM |
| Credential | LPC, LMFT |
| Practice Address |
6801 Sanger Ave Ste 201 Waco TX 76710-7818 |
| Mailing Address |
8208 Teakwood Dr Waco TX 76712-2426 |
| Practice Telephone | 2547411737 |
| Practice Fax Number | 2547411737 |
| Mailing Telephone | 2547722780 |
| Mailing Fax Number | 2547411496 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YP2500X |
Counselor Specialization: Professional |
9087 | TX | Behavioral Health & Social Service Providers |
| X | 106H00000X | Marriage & Family Therapist | 917 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | VALUE OPTIONS | 526067 | 01 |
| TX | BLUE CROSS BLUE SHIELD | 6159LC | 01 |
| TX | MAGELLAN HEALTH | 72716400 | 01 |
| Street Address |
6801 SANGER AVE STE 201 |
| City | WACO |
| State | TX |
| Zip Code | 76710-7818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750366183 | Carol M Houston | Counselor | 6801 Sanger Ave, Suite 130c, Waco, TX 76710-7818 | 2005-12-08 |
| 1033662317 | Greater Waco Counseling & Wellness, Pllc | Clinic/Center | 6801 Sanger Ave, Waco, TX 76710-7818 | 2016-08-03 |
| 1780963819 | Curtis Lee Timmons | Psychologist | 6801 Sanger Ave, Suite 104, Waco, TX 76710-7818 | 2011-08-07 |
| 1801003413 | Robyn Laverne Lee Hicks | Social Worker | 6801 Sanger Ave, Ste 188-c, Waco, TX 76710-7818 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740741156 | Jessica Cook-lindsay | Physical Therapist | 2121 W Hwy 6, Waco, Waco, TX 76710 | 2019-03-28 |
| 1306354824 | Paula A Huffhines | Technician, Other | 115 S 25th, Waco, TX 76710 | 2018-01-18 |
| 1982154639 | Nha Do | Pharmacist | 1301 Wood Acres, Waco, TX 76710 | 2016-10-06 |
| 1649662495 | Pediatric Advanced Life Services Home Health LLC | Home Health | 3640 W Waco Dr, Waco, TX 76710 | 2015-03-02 |
| 1881008795 | Soumava Sen, Dds, P.C. | Dentist | 4215 Franklin Ave, Ste. 300, Waco, TX 76710 | 2014-06-18 |
| 1053742221 | Dustin Dwain Kelm | Physical Therapist | 5400 Laurel Dr., Waco, TX 76710 | 2013-12-12 |
| 1881038776 | Penelope Diane Lane | Counselor | 7524 Bosque, Waco, TX 76710 | 2013-04-22 |
| 1538400627 | Erik Alexander Pernes Caluscusao | Physical Therapist | 415 Owen Ln Apt 911, Waco, TX 76710 | 2013-03-14 |
| 1447509039 | Sheree L Mach | Occupational Therapist | 5400 Laurel Lake Dr., Waco, TX 76710 | 2012-08-29 |
| 1568738425 | Ramanathan Anandaraman | Internal Medicine | 2608 Skyline Drive, Waco, TX 76710 | 2012-03-26 |
| Find all providers in zip 76710 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979401 | Ana Maria Matei | Counselor | 6515 Sanger Ave Ste 21, Waco, TX 76710-7806 | 2020-07-16 |
| 1649892423 | Miriam Paiva Pahim Karkle | Counselor | 2500 Colcord Ave, Waco, TX 76707-1911 | 2020-05-14 |
| 1326670993 | Courtney Coker | Counselor | 11947 Gholson Rd, Waco, TX 76705-5604 | 2020-02-11 |
| 1356973689 | Anna Lee Reynolds | Counselor | 4144 Riata Ranch Rd, Waco, TX 76705-3810 | 2020-02-05 |
| 1205481207 | Jennifer Nivin Williamson | Counselor | 1205 Thistle Park, Waco, TX 76706-7292 | 2019-08-06 |
| 1295292217 | Colby J Walters | Counselor | 3306 Cumberland Ave, Waco, TX 76707-1225 | 2019-02-26 |
| 1659878601 | Allison M Cornell | Counselor | 3233 Cole Ave, Waco, TX 76707-2536 | 2018-04-06 |
| 1700398187 | Sarah Thomas | Counselor | 3221 Franklin Ave Ste 302, Waco, TX 76710-7360 | 2017-10-25 |
| 1598295636 | Justine Lowrey | Counselor | 7111 Bosque Blvd Ste 102, Waco, TX 76710-4070 | 2017-06-12 |
| 1972039006 | Kate Ko | Counselor | 4555 Lake Shore Dr Ste B, Waco, TX 76710-1814 | 2017-05-10 |
| Find all providers in WACO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.