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POLLY MARIE VAUGHN
NPI 1750754008
Counselor - Professional in Bourbonnais, IL

Active since November 09, 2015PECOS Enrolled
206 CHESTERFIELD CT, BOURBONNAIS, IL 60914(815) 603-2425 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 7, 2023, Nov 9, 2015 (2 updates tracked since 2015).

About Polly Marie Vaughn NPPES

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

POLLY MARIE VAUGHN (NPI 1750754008) is an individual professional provider in Bourbonnais, Illinois, licensed in Illinois (180009894) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750754008
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NamePOLLY MARIE VAUGHN
Location Address206 CHESTERFIELD CTBourbonnais, IL 60914-9652
Mailing AddressPo Box 2199Kankakee, IL 60901-1199 · (815) 603-2425
Phone(815) 603-2425
Sole ProprietorYes
Enumeration DateNovember 9, 2015
Last NPPES UpdateJune 7, 20232 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
✔ NPI 1750754008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180009894
206 CHESTERFIELD CT, Bourbonnais, IL 60914
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Polly Marie Vaughn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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

INSTITUTE FOR SOCIAL AND EMOTIONAL LEARNING
Counselor (Mental Health)
206 CHESTERFIELD CT
BOURBONNAIS, IL 60914
Kankakee County (815) 603-2425

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 Polly Vaughn's NPI number?

The NPI number for Polly Vaughn is 1750754008. It was assigned to this individual provider in the NPPES registry on November 9, 2015.

Where is Polly Vaughn located?

Polly Vaughn practices at 206 Chesterfield Ct, Bourbonnais, IL 60914. The listed phone number is (815) 603-2425.

What is Polly Vaughn's specialty?

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

Is Polly Vaughn enrolled in Medicare?

Yes. Polly Vaughn is registered in the Medicare PECOS enrollment system.

What insurance does Polly Vaughn accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Highmark Blue Cross Blue Shield Delaware and Providence Health Plan list Polly 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 Polly Vaughn was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.