MR. WILLARD ALLEN VAUGHN LPC
NPI 1760637219
Counselor - Professional in Hampton, VA

Active since November 25, 2008PECOS Enrolled
110 COLISEUM XING # 6045, HAMPTON, VA 23666(833) 464-5438(757) 578-8226 Get Directions Write a Review

NPPES record last updated: July 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 8, 2025, Dec 11, 2024, Jul 21, 2020 and 3 more (6 updates tracked since 2018).

About Mr. Willard Allen Vaughn Lpc NPPES

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

MR. WILLARD ALLEN VAUGHN LPC (NPI 1760637219) is an individual professional provider in Hampton, Virginia, licensed in Virginia (0701007739) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1760637219
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. WILLARD ALLEN VAUGHNCredential: LPC
Location Address110 COLISEUM XING # 6045Hampton, VA 23666-5971
Mailing Address110 Coliseum Xing # 6045Hampton, VA 23666-5971 · (833) 464-5438 · Fax (757) 578-8226
Fax(757) 578-8226
Sole ProprietorYes
Enumeration DateNovember 25, 2008
Last NPPES UpdateJuly 3, 20266 updates tracked since enumeration
NPPES CertifiedJuly 3, 2026
✔ NPI 1760637219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in VA · 0701007739✔ Licensed in MD · LC10487✔ Licensed in DC · PRC15236
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 39003460A (IN)
110 COLISEUM XING # 6045, Hampton, VA 23666

Secondary Practice Locations 2

Location 1Online Provider Only, 722 S Liberty Street #120Muncie, IN 47305 · Phone (888) 366-0989
Location 2ONLINE PROVIDER ONLY, 8507 OXON HILL RD 200-1050FT WASHINGTON, MD 20744-4744 · Phone (833) 464-5438 · Fax (757) 578-8226

Other Identifiers 4

Medicaid319116800MD
Medicaid30015303970001VA
Medicaid070892283DC
Medicaid30050538IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Willard Allen Vaughn Lpc 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.

Medicare Billing Reassignment

Medicare enrollment records show Willard Vaughn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
201 MONTICELLO MEWS
Hampton, VA 23666
  • Reassigned Medicare billing, Virginia enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Willard Vaughn's NPI number?

The NPI number for Willard Vaughn is 1760637219. It was assigned to this individual provider in the NPPES registry on November 25, 2008.

Where is Willard Vaughn located?

Willard Vaughn practices at 110 Coliseum Xing # 6045, Hampton, VA 23666. The listed phone number is (833) 464-5438.

What is Willard Vaughn's specialty?

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

Is Willard Vaughn enrolled in Medicare?

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

Which organization bills Medicare for Willard Vaughn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Willard Vaughn reassigns Medicare benefits to The Milieu Therapeutic Services, PC (Hampton, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Willard Vaughn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Willard Vaughn accept?

Health plans from CareSource, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Oscar Health and UnitedHealthcare list Willard 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 Willard Vaughn was last updated on July 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.