MR. SAMUEL E VAUGHN LMSW
NPI 1184287294
Counselor - Mental Health in Buffalo, NY

Q: What is Samuel Vaughn's NPI number?

The NPI number for Samuel Vaughn is 1184287294. It was assigned to this individual provider in the NPPES registry on April 16, 2019.

Q: What is Samuel Vaughn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Vaughn was last updated on May 24, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 16, 2019PECOS Enrolled

1131 BROADWAY ST, BUFFALO, NY 14212(716) 896-7350 Get Directions Write a Review

NPPES record last updated: May 24, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 24, 2019, Apr 16, 2019 (2 updates tracked since 2019).

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About Mr. Samuel E Vaughn Lmsw NPPES

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

MR. SAMUEL E VAUGHN LMSW (NPI 1184287294) is an individual mental health provider in Buffalo, New York and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184287294

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. SAMUEL E VAUGHNCredential: LMSW

Location Address1131 BROADWAY STBuffalo, NY 14212-1501

Mailing Address1131 Broadway StBuffalo, NY 14212-1501 · (315) 447-9401

Phone(716) 896-7350

Sole ProprietorNo

Enumeration DateApril 16, 2019

Last NPPES UpdateMay 24, 20192 updates tracked since enumeration

✔ NPI 1184287294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1131 BROADWAY ST, Buffalo, NY 14212

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Samuel E Vaughn Lmsw 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.