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STEFANY VAUGHN MACK LPCC-S
NPI 1174038293
Counselor - Professional in Glasgow, KY

Active since December 12, 2017PECOS Enrolled
1411 N RACE ST, GLASGOW, KY 42141(270) 479-8900(877) 308-1668 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 30, 2025, Sep 14, 2022, Dec 12, 2017 (3 updates tracked since 2017).

About Stefany Vaughn Mack Lpcc-s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEFANY VAUGHN MACK LPCC-S (NPI 1174038293) is an individual professional provider in Glasgow, Kentucky, licensed in Kentucky (175254) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174038293
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTEFANY VAUGHN MACKCredential: LPCC-S
Location Address1411 N RACE STGlasgow, KY 42141-3474
Mailing Address1411 N Race StGlasgow, KY 42141-3474 · (270) 479-8900 · Fax (877) 308-1668
Phone(270) 479-8900
Fax(877) 308-1668
Sole ProprietorNo
Enumeration DateDecember 12, 2017
Last NPPES UpdateJune 30, 20253 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1174038293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in KY · 175254
1411 N RACE ST, Glasgow, KY 42141
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100496490KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stefany Vaughn Mack Lpcc-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LETICIA BRAVO
Pediatrics
1411 N RACE ST
GLASGOW, KY 42141
Barren County (270) 651-9755
MICHELLE MERCER EWING LPCA
Counselor (Professional)
1411 N RACE ST
GLASGOW, KY 42141
Barren County (270) 479-8900
KARA MORGAN HARRIS LCCP
Counselor (Mental Health)
1411 N RACE ST
GLASGOW, KY 42141
Barren County (270) 479-8900
SAVANNAH GRACE STEPHENS
Student in an Organized Health Care Education/Training Program
1411 N RACE ST
GLASGOW, KY 42141
Barren County (270) 479-8900
ORLANDO BRAVO
Obstetrics & Gynecology
1411 N RACE ST
GLASGOW, KY 42141
Barren County (270) 651-9755
LINDSAY MEGAN LLOYD LCSW
Social Worker (Clinical)
1411 N RACE ST
GLASGOW, KY 42141
Barren County (270) 479-8900
KATHERINE CHILDRES
Case Manager/Care Coordinator
1411 N RACE ST
GLASGOW, KY 42141
Barren County (270) 901-5000
HOLLY C OSTERMAN
Counselor (Mental Health)
1411 N RACE ST
GLASGOW, KY 42141
Barren County (270) 255-9793

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stefany Vaughn Mack's NPI number?

The NPI number for Stefany Vaughn Mack is 1174038293. It was assigned to this individual provider in the NPPES registry on December 12, 2017.

Where is Stefany Vaughn Mack located?

Stefany Vaughn Mack practices at 1411 N Race St, Glasgow, KY 42141. The listed phone number is (270) 479-8900.

What is Stefany Vaughn Mack's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Stefany Vaughn Mack enrolled in Medicare?

Yes. Stefany Vaughn Mack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stefany Vaughn Mack was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.