MARK VAUGHAN LPC
NPI 1679026207
Counselor - Professional in Texarkana, AR

Q: What is Mark Vaughan's NPI number?

The NPI number for Mark Vaughan is 1679026207. It was assigned to this individual provider in the NPPES registry on August 1, 2016.

Q: What is Mark Vaughan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Mark Vaughan was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since August 01, 2016PECOS EnrolledAccepts Medicare Assignment

2904 ARKANSAS BLVD, TEXARKANA, AR 71854(870) 773-4655(870) 772-4650 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mark Vaughan Lpc NPPES

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

MARK VAUGHAN LPC (NPI 1679026207) is an individual professional provider in Texarkana, Arkansas, licensed in Arkansas (P0905051) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1679026207

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMARK VAUGHANCredential: LPC

Location Address2904 ARKANSAS BLVDTexarkana, AR 71854-2536

Mailing Address2904 Arkansas BlvdTexarkana, AR 71854-2536 · (870) 773-4655 · Fax (870) 772-4650

Phone(870) 773-4655

Fax(870) 772-4650

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateAugust 1, 2016

Last NPPES UpdateSeptember 26, 2025

NPPES CertifiedSeptember 26, 2025

✔ NPI 1679026207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in AR · P0905051

Also ListedCounselorTaxonomy 101Y00000X · License A1606079 (AR)

2904 ARKANSAS BLVD, Texarkana, AR 71854

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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

Mark Vaughan Lpc 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 ID1951891787

PECOS Enrollment IDI20251110000052

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.

TERRY JEROME WILLIAMS LAC

Counselor