SHONDA S VAUGHN LPC/MHSP, NCC - NPI 1336762251 - Counselor in Murfreesboro, TN

Q: What is Shonda Vaughn's NPI number?

The NPI number for Shonda Vaughn is 1336762251. It was assigned to this individual provider in the NPPES registry on May 27, 2020.

Q: What is Shonda 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 Shonda Vaughn was last updated on November 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Shonda S Vaughn Lpc/mhsp, Ncc NPPES

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

SHONDA S VAUGHN LPC/MHSP, NCC (NPI 1336762251) is an individual mental health provider in Murfreesboro, Tennessee, licensed in Tennessee (4262) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brentwood, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1336762251

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSHONDA S VAUGHNCredential: LPC/MHSP, NCC

Location Address745 S CHURCH ST STE 805Murfreesboro, TN 37130-4983

Mailing Address745 S Church St Ste 805Murfreesboro, TN 37130-4983 · (615) 584-2928

Phone(615) 584-2928

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateMay 27, 2020

Last NPPES UpdateNovember 12, 20223 updates tracked since enumeration

NPPES CertifiedNovember 12, 2022

✔ NPI 1336762251 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 TN · 4262

745 S CHURCH ST STE 805, Murfreesboro, TN 37130

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Secondary Practice Location 1

Location 1500 Wilson Pike Cir Ste 223Brentwood, TN 37027-3225 · Phone (615) 584-2928

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shonda S Vaughn Lpc/mhsp, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325539687

PECOS Enrollment IDI20251114000369

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 6

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

DIANE PATRICE GAMMON LPC-MHSP

Counselor (Mental Health)