STEFANY VAUGHN MACK LPCC-S
NPI 1174038293
Counselor - Professional in Glasgow, KY
- Individual
- Female
- Counselor
- Professional
- PECOS Enrolled
About STEFANY VAUGHN MACK
This page provides the complete NPI Profile along with additional information for Stefany Vaughn Mack, a provider established in Glasgow, Kentucky with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1174038293 assigned on December 2017. The practitioner's primary taxonomy code is 101YP2500X with license number 175254 (KY). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1174038293 Verify this NPI
- Provider Name
- STEFANY VAUGHN MACK LPCC-S
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1411 N RACE ST GLASGOW, KY 42141
- Location Phone
- (270) 479-8900
- Location Fax
- (877) 308-1668
- Mailing Address
- 1411 N RACE ST GLASGOW, KY 42141
- Mailing Phone
- (270) 479-8900
- Mailing Fax
- (877) 308-1668
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-12-2017
- Last Update Date
- 06-30-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 175254
- License State
- KY
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7100496490 | MEDICAID (05) | KY |
Medicare Participation & PECOS Enrollment Status
Stefany Vaughn Mack is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for STEFANY VAUGHN MACK LPCC-S
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Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
GLASGOW, KY 42141
GLASGOW, KY 42141
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174038293, enumerated as an "individual" on December 12, 2017.
The provider is located at 1411 N RACE ST GLASGOW, KY 42141 and the phone number is (270) 479-8900.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
