MARK VAUGHAN (NPI# 1386190353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386190353 |
| Entity Type | Individual |
| Full Name | MARK VAUGHAN |
| Credential | LMFT |
| Practice Address |
2934 Central St Ste C3 Evanston IL 60201-5201 |
| Mailing Address |
2619 Central St Apt 3 Evanston IL 60201-6415 |
| Practice Telephone | 3128996184 |
| Mailing Telephone | 6199528263 |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2018-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 166.001204 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942758644 | Mark Alan Vaughan | Counselor | 709 Mantle Dr Apt D, Belgrade, MT 59714-8379 | 2016-09-12 |
| 1053303461 | Mark A Vaughan | General Practice | 3256 Professional Dr, Auburn, CA 95602-2412 | 2005-08-22 |
| 1073176673 | Mark Taylor Vaughan | Student in an Organized Health Care Education/Training Program | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2019-04-18 |
| 1679026207 | Mark Vaughan | Counselor | 508 N 2nd St, Nashville, AR 71852-3925 | 2016-08-01 |
| Street Address |
2934 CENTRAL ST STE C3 |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201-5201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| Find all providers in zip 60201 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831751163 | Dorcas Matowe | Marriage & Family Therapist | The Family Institute, 618 Library Place, Evanston, IL 60202 | 2019-07-08 |
| 1306309802 | The Center for Wellness Encounters | Marriage & Family Therapist | 2121 Sheridan Rd, Evanston, IL 60201-2926 | 2019-04-11 |
| 1881167468 | Connections Health, LLC | Marriage & Family Therapist | 1854 Sherman Ave, Evanston, IL 60201-3795 | 2019-01-07 |
| 1942714084 | Shoreline Psychotherapy LLC | Marriage & Family Therapist | 1940 Sherman Ave Ste A, Evanston, IL 60201 | 2017-11-28 |
| 1821537978 | Clea Rose Mirza James | Marriage & Family Therapist | 636 Church St Ste 309, Evanston, IL 60201-6030 | 2017-02-21 |
| 1477934586 | Auburn Amanda Robertson | Marriage & Family Therapist | 1013 Sage St, Evanston, WY 82930-3448 | 2015-06-15 |
| 1427493030 | Michelle Gossett | Marriage & Family Therapist | 626 Grove St Ste 207, Evanston, IL 60201-4475 | 2013-05-08 |
| 1184958258 | Jodi Michelle Smith-cohen | Marriage & Family Therapist | 2956 Central St, Evanston, IL 60201-1246 | 2009-09-23 |
| 1922232487 | Jennifer L Mccomb | Marriage & Family Therapist | 1830 Sherman Ave Ste 205, Evanston, IL 60201-3771 | 2009-05-12 |
| 1013044171 | David I Klow | Marriage & Family Therapist | 2436 Cowper Ave, Evanston, IL 60201-1846 | 2007-02-27 |
| Find all providers in EVANSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.