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Willard Allen Vaughn , LPC

Counselor - Professional β€’ Hampton, VA

Active NPI 1760637219 Individual Practitioner Male Practitioner
Practice location in NPPES

110 Coliseum Xing # 6045
Hampton, VA 236665971

Call 8334645438 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

110 Coliseum Xing # 6045

Hampton, VA 236665971

Telephone 8334645438
Fax 7575788226
Organization at the Same NPPES Address or Phone
The Milieu Therapeutic Services, Pc Facility NPI 1679068597

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

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Ft Washington, MD; Muncie, IN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2008

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, CMS release of October 2, 2026; 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, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Willard Vaughn has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Willard Vaughn as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Hampton and Virginia

136 active clinicians are listed under Counselor - Professional with a practice address in Hampton, VA (6,588 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Hampton

7.4% of these 136 clinicians have the CMS telehealth indicator.

17.6% of these 136 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, 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: 2026-07-03
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES VA 0701007739
Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES MD LC10487
Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES IN 39003460A
Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES DC PRC15236
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: Virginia Department of Health Professions.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
319116800 (MD)
Medicaid ID
30015303970001 (VA)
Medicaid ID
070892283 (DC)
Medicaid ID
30050538 (IN)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20240617002813

Enrollment State Jurisdiction

VA

PECOS Control ID

2365873510

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

Online Provider Only, 722 S Liberty Street #120

Muncie, IN 47305

Phone: 8883660989

Online Provider Only, 8507 Oxon Hill Rd 200-1050

Ft Washington, MD 207444744

Phone: 8334645438

Career & Practice History Timeline

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

19 Historical Events
🏒
Secondary Practice Location Registered July 03, 2026

Additional practice office at Online Provider Only, 722 S Liberty Street #120, Muncie, IN 47305

🏒
Secondary Practice Location Registered July 03, 2026

Additional practice office at ONLINE PROVIDER ONLY, 8507 OXON HILL RD 200-1050, FT WASHINGTON, MD 207444744

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2026

Counselor (license number reported to NPPES: MD LC10487)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2025

Counselor (license number reported to NPPES: DC PRC15236)

πŸ“
Updated Practice Location December 11, 2024

Registered at 110 COLISEUM XING # 6045, HAMPTON, VA 236665971 (Tel: 8334645438)

πŸ“
Updated Business Mailing Address December 11, 2024

Registered at 110 COLISEUM XING # 6045, HAMPTON, VA 236665971 (Tel: 8334645438)

πŸ‘€
Provider Name / Credentials Updated March 25, 2022

Recorded as WILLARD VAUGHN, LPC

πŸ“
Updated Business Mailing Address July 21, 2020

Registered at 5007C VICTORY BLVD # 118, YORKTOWN, VA 236935601 (Tel: 8334645438)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2020

Counselor (license number reported to NPPES: MD LC10487)

πŸ“
Updated Practice Location May 25, 2020

Registered at 1730 GEORGE WASHINGTON MEM HWY STE F-6, YORKTOWN, VA 236934328 (Tel: 8334645438)

πŸ“
Updated Practice Location June 25, 2018

Registered at 250 N FOURTH ST, HAMPTON, VA 23664 (Tel: 7575975103)

πŸ“
Updated Business Mailing Address June 25, 2018

Registered at 250 N FOURTH ST, HAMPTON, VA 236641439 (Tel: 7575975103)

πŸ‘€
Provider Name / Credentials Updated June 25, 2018

Recorded as WILLARD VAUGHN, MA, LPC, CPSC

βœ…
NPI Profile Active November 25, 2008

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 25, 2008

Registered at 474 COLONIAL TRAIL W, SURRY, VA 23883 (Tel: 7572940037)

πŸ“
Business Mailing Address (Initial Record) November 25, 2008

Registered at PO BOX 296, 474 COLONIAL TRAIL W, SURRY, VA 23883 (Tel: 7572940037)

πŸ‘€
Provider Name / Credentials (Initial Record) November 25, 2008

Recorded as WILLARD VAUGHN, M.A., CP, QMHP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2008

Counselor

🟒
Initial NPI Registration & Enumeration November 25, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1760637219
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 25, 2008
Last Update: July 03, 2026
Sole Proprietor: Yes

Mailing Address

110 Coliseum Xing # 6045

Hampton, VA 236665971

Phone: 8334645438

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.