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MRS. VICKI VAUGHN VANGUNDY LMHC
NPI 1376009522
Counselor - Mental Health in Jacksonville, FL

Active since February 13, 2019PECOS EnrolledAccepts Medicare Assignment
1650 PRUDENTIAL DR STE 210, JACKSONVILLE, FL 32207(904) 376-3755(904) 396-4942 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 26, 2024, Jul 16, 2024, May 13, 2022 and 2 more (5 updates tracked since 2019).

About Mrs. Vicki Vaughn Vangundy Lmhc NPPES

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

MRS. VICKI VAUGHN VANGUNDY LMHC (NPI 1376009522) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH19714) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1376009522
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. VICKI VAUGHN VANGUNDYCredential: LMHC
Location Address1650 PRUDENTIAL DR STE 210Jacksonville, FL 32207-8149
Mailing AddressPo Box 748519Atlanta, GA 30374-8519 · (904) 376-3800 · Fax (904) 376-3998
Phone(904) 376-3755
Fax(904) 396-4942
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateFebruary 13, 2019
Last NPPES UpdateJuly 26, 20245 updates tracked since enumeration
NPPES CertifiedJuly 26, 2024
✔ NPI 1376009522 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 FL · MH19714
1650 PRUDENTIAL DR STE 210, Jacksonville, FL 32207
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Vicki Vaughn Vangundy Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507213261
PECOS Enrollment IDI20231117000782
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 15

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

DR. AYLIN SANER EMMERT M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1650 PRUDENTIAL DR STE 210
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
KAREN C SANDBACH PH.D.
Clinical Neuropsychologist
1650 PRUDENTIAL DR STE 210
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
BAPTIST BEHAVIORAL HEALTH, LLC
Psychologist
1650 PRUDENTIAL DR STE 210
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
MR. JUSTIN TYLER BOLLINGMO LMFT
Marriage & Family Therapist
1650 PRUDENTIAL DR STE 210
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
BROOKE BIEN-COATNEY LCSW
Social Worker (Clinical)
1650 PRUDENTIAL DR STE 210
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
EMMA AMBLER LMHC
Counselor (Mental Health)
1650 PRUDENTIAL DR STE 210
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
JUSTINE DANIELLE PIGOTT LCSW
Social Worker (Clinical)
1650 PRUDENTIAL DR STE 210
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
HEATHER E PELTACK BCBA
Behavior Analyst
1650 PRUDENTIAL DR STE 210
JACKSONVILLE, FL 32207
Duval County (904) 376-3800

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 Vicki Vangundy's NPI number?

The NPI number for Vicki Vangundy is 1376009522. It was assigned to this individual provider in the NPPES registry on February 13, 2019.

Where is Vicki Vangundy located?

Vicki Vangundy practices at 1650 Prudential Dr Ste 210, Jacksonville, FL 32207. The listed phone number is (904) 376-3755.

What is Vicki Vangundy's specialty?

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

Is Vicki Vangundy enrolled in Medicare?

Yes. Vicki Vangundy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Vicki Vangundy accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Vicki Vangundy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vicki Vangundy was last updated on July 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.