DOMINIQUE LEMAR VAUGHAN LCMHC
NPI 1689192239
Counselor - Mental Health in Charlotte, NC

Active since September 05, 2017PECOS EnrolledAccepts Medicare Assignment
5200 PARK RD STE 218B, CHARLOTTE, NC 28209(866) 700-1606 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 5, 2024, Jul 21, 2022, Aug 17, 2021 and 2 more (5 updates tracked since 2019).

About Dominique Lemar Vaughan Lcmhc NPPES

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

DOMINIQUE LEMAR VAUGHAN LCMHC (NPI 1689192239) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (13138) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1689192239
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDOMINIQUE LEMAR VAUGHANCredential: LCMHC
Location Address5200 PARK RD STE 218BCharlotte, NC 28209-3650
Mailing Address2030 Woccon PathWinston Salem, NC 27127-9422 · (336) 671-0961
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 5, 2017
Last NPPES UpdateNovember 5, 20245 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
NPI 1689192239 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 NC · 13138
5200 PARK RD STE 218B, Charlotte, NC 28209

Accepted 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

Dominique Lemar Vaughan Lcmhc 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 ID5193261634
PECOS Enrollment IDI20240722000552
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.

Counselor (Professional)
5200 PARK RD STE 218B
CHARLOTTE, NC 28209
Social Worker (Clinical)
5200 PARK RD STE 218B
CHARLOTTE, NC 28209
Social Worker (Clinical)
5200 PARK RD STE 218B
CHARLOTTE, NC 28209
Social Worker (Clinical)
5200 PARK RD STE 218B
CHARLOTTE, NC 28209
Counselor (Professional)
5200 PARK RD STE 218B
CHARLOTTE, NC 28209
Counselor (Mental Health)
5200 PARK RD STE 218B
CHARLOTTE, NC 28209
Social Worker (Clinical)
5200 PARK RD STE 218B
CHARLOTTE, NC 28209
Social Worker (Clinical)
5200 PARK RD STE 218B
CHARLOTTE, NC 28209

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 Dominique Vaughan's NPI number?

The NPI number for Dominique Vaughan is 1689192239. It was assigned to this individual provider in the NPPES registry on September 5, 2017.

Where is Dominique Vaughan located?

Dominique Vaughan practices at 5200 Park Rd Ste 218B, Charlotte, NC 28209. The listed phone number is (866) 700-1606.

What is Dominique Vaughan's specialty?

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

Is Dominique Vaughan enrolled in Medicare?

Yes. Dominique 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.

What insurance does Dominique Vaughan accept?

Health plans from Blue Cross and Blue Shield of NC list Dominique Vaughan 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 Dominique Vaughan was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.