JENAE VAUGHN
NPI 1184582777
Counselor - Mental Health in South Holland, IL
Active since January 12, 2026
About Jenae Vaughn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENAE VAUGHN (NPI 1184582777) is an individual mental health provider in South Holland, Illinois, licensed in Illinois (180.017575) and active in the NPI registry since January 2026.
NPPES Registry Identity
NPI1184582777
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENAE VAUGHN
Location Address16000 VAN DRUNEN RD STE 8South Holland, IL 60473-1242
Mailing Address16000 Van Drunen Rd Ste 8South Holland, IL 60473-1242 · (708) 637-6760
Phone(708) 637-6760
Sole ProprietorNo
Enumeration DateJanuary 12, 2026
NPPES CertifiedJanuary 12, 2026
✔ NPI 1184582777 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 180.017575
16000 VAN DRUNEN RD STE 8, South Holland, IL 60473
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Student in an Organized Health Care Education/Training Program
16000 VAN DRUNEN RD STE 8
SOUTH HOLLAND, IL 60473
SOUTH HOLLAND, IL 60473
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184582777, enumerated as an "individual" on January 12, 2026.
The provider is located at 16000 VAN DRUNEN RD STE 8 SOUTH HOLLAND, IL 60473 and the phone number is (708) 637-6760.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
