GLENN VAUGHN LCPC
NPI 1699164236
Counselor in Coeur D Alene, ID

Q: What is Glenn Vaughn's NPI number?

The NPI number for Glenn Vaughn is 1699164236. It was assigned to this individual provider in the NPPES registry on January 20, 2015.

Q: What is Glenn Vaughn's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: Is Glenn Vaughn enrolled in Medicare?

No. Glenn Vaughn has opted out of Medicare through August 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Glenn Vaughn was last updated on January 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since January 20, 2015Opted out of Medicare · through Aug 15, 2028

416 E FOSTER AVE, 2488 MERRITT CREEK LOOP SUITE NUMBER 2C, COEUR D ALENE, ID 83814(208) 659-3931 Get Directions Write a Review

NPPES record last updated: January 20, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Glenn Vaughn Lcpc NPPES

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

GLENN VAUGHN LCPC (NPI 1699164236) is an individual counselor in Coeur D Alene, Idaho, licensed in Idaho (LCPC-5394) and active in the NPI registry since January 2015. He has opted out of Medicare through August 15, 2028.

NPPES Registry Identity

NPI1699164236

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameGLENN VAUGHNCredential: LCPC

Location Address416 E FOSTER AVE, 2488 MERRITT CREEK LOOP SUITE NUMBER 2CCoeur D Alene, ID 83814-3045

Mailing Address416 E Foster AveCoeur D Alene, ID 83814-3045 · (208) 659-3931

Phone(208) 659-3931

Sole ProprietorYes

Enumeration DateJanuary 20, 2015

✔ NPI 1699164236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in ID · LCPC-5394

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

416 E FOSTER AVE, Coeur D Alene, ID 83814

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Glenn Vaughn Lcpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 15, 2024 through August 15, 2028.

Opt-Out Effective DateAugust 15, 2024

Opt-Out In Effect ThroughAugust 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Glenn Vaughn's NPI number?

The NPI number for Glenn Vaughn is 1699164236. It was assigned to this individual provider in the NPPES registry on January 20, 2015.

Where is Glenn Vaughn located?

Glenn Vaughn practices at 416 E Foster Ave 2488 Merritt Creek Loop Suite Number 2C, Coeur D Alene, ID 83814. The listed phone number is (208) 659-3931.

What is Glenn Vaughn's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Glenn Vaughn enrolled in Medicare?

No. Glenn Vaughn has opted out of Medicare through August 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Glenn Vaughn accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Glenn Vaughn 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 Glenn Vaughn was last updated on January 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.