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JOSEPH VAUGHAN LCSW
NPI 1508873381
Counselor - Mental Health in Pontiac, IL

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
920 W CUSTER AVE, PONTIAC, IL 61764(815) 844-6109(815) 844-3561 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 27, 2024, Nov 11, 2021 (2 updates tracked since 2021).

About Joseph Vaughan Lcsw NPPES

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

JOSEPH VAUGHAN LCSW (NPI 1508873381) is an individual mental health provider in Pontiac, Illinois, licensed in Illinois (149007408) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1508873381
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJOSEPH VAUGHANCredential: LCSW
Location Address920 W CUSTER AVEPontiac, IL 61764-1067
Mailing AddressPo Box 768Pontiac, IL 61764-0768 · (815) 844-6109 · Fax (815) 844-3561
Phone(815) 844-6109
Fax(815) 844-3561
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateAugust 2, 2006
Last NPPES UpdateJune 27, 20242 updates tracked since enumeration
NPPES CertifiedJune 27, 2024
✔ NPI 1508873381 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 · 149007408
920 W CUSTER AVE, Pontiac, IL 61764
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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 and accepts Medicare assignment

Joseph Vaughan Lcsw 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 ID2163748054
PECOS Enrollment IDI20230530000733
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 20

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

LAUREN WHITECOTTON BA
Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Livingston County (815) 844-6109
BRITTANY BARLOW MSW
Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Livingston County (815) 844-6109
SANDRA BOECKMANN LSW
Counselor (Addiction (Substance Use Disorder))
920 W CUSTER AVE
PONTIAC, IL 61764
Livingston County (815) 844-6109
MELISSA SIDLER MHP
Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Livingston County (815) 844-6109
MEREDITH M SPRAGGON MHP
Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Livingston County (815) 844-6109
ALYSSA STEIN MHP
Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Livingston County (815) 844-6109
KATIE KENNEDY
Counselor (Mental Health)
920 W CUSTER AVE
PONTIAC, IL 61764
Livingston County (815) 844-6109
JULIA EILEEN COTTER PEL
Speech-Language Pathologist
920 W CUSTER AVE
PONTIAC, IL 61764
Livingston County (815) 844-7115

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 Joseph Vaughan's NPI number?

The NPI number for Joseph Vaughan is 1508873381. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Joseph Vaughan located?

Joseph Vaughan practices at 920 W Custer Ave, Pontiac, IL 61764. The listed phone number is (815) 844-6109.

What is Joseph Vaughan's specialty?

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

Is Joseph Vaughan enrolled in Medicare?

Yes. Joseph Vaughan 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.

When was this NPI record last updated?

The NPPES record for Joseph Vaughan was last updated on June 27, 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.