MR. SAMUEL E VAUGHN LMSW
NPI 1184287294
Counselor - Mental Health in Buffalo, NY
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Samuel E Vaughn Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Samuel Vaughn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Buffalo, NY 14202
- Reassigned Medicare billing, New York enrollment
- 119 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 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.
Where is Samuel Vaughn located?
Samuel Vaughn practices at 1131 Broadway St, Buffalo, NY 14212. The listed phone number is (716) 896-7350.
What is Samuel Vaughn's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Samuel Vaughn enrolled in Medicare?
Yes. Samuel Vaughn is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Samuel Vaughn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Vaughn reassigns Medicare benefits to Bestself Behavioral Health, Inc. (Buffalo, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Vaughn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Samuel Vaughn was last updated on May 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.
# Mr. Samuel E Vaughn, LMSW · NPI 1184287294
Mental Health provider in Buffalo, New York. Individual provider, active in the CMS NPPES registry since April 16, 2019.
## Identity
- **NPI:** 1184287294 (Entity type: Individual)
- **Enumerated:** April 16, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 1131 BROADWAY ST, Buffalo, NY 14212-1501
- **Phone:** (716) 896-7350
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Bestself Behavioral Health, Inc. (NPI 1447497821, Buffalo, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 24, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1184287294) · Data from the CMS NPPES public registry.