JESSICA LYNN VAUGHN (NPI# 1417484304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417484304 |
| Entity Type | Individual |
| Full Name | JESSICA LYNN VAUGHN |
| Credential | LPC, LCASA |
| Practice Address |
3640 Westgate Center Cir Ste A Winston Salem NC 27103 |
| Mailing Address |
284 Executive Park Dr Ste 100 Concord NC 28025-1833 |
| Practice Telephone | 3364072878 |
| Mailing Telephone | 7049391100 |
| Mailing Fax Number | 7049391173 |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2019-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCAS-23280 | NC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
A13097 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 725 Highland Ave, Winston Salem, NC 271014180 | 3366078523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558513267 | Jessica K Vaughn | Counselor | 809 W 26th St Ste 5, Erie, PA 16508-3205 | 2008-10-14 |
| 1245837467 | Jessica Renee Vaughn | Technician | 820 Poplar St, Kenova, WV 25530-1530 | 2020-10-01 |
| 1801380639 | Jessica L Vaughn | Counselor | 111 S Broad St Ste 209, Lancaster, OH 43130-4383 | 2018-06-15 |
| 1649761107 | Jessica Smith Vaughn | Behavioral Analyst | 1401 E 7th St, Charlotte, NC 28204-6300 | 2018-05-21 |
| 1639691298 | Jessica Jorine Vaughn | Pediatrics | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2017-07-14 |
| 1346760303 | Jessica Morgan Vaughn | Dentist | 1309 E Peace St, Canton, MS 39046-4956 | 2017-06-21 |
| 1427416734 | Jessica Vaughn | Counselor | 2725 Highway 51 S, Hernando, MS 38632-2634 | 2016-02-01 |
| 1588004378 | Jessica L Vaughn | Dentist | 5536 Ne Antioch Rd, Kansas City, MO 64119-2301 | 2013-06-26 |
| 1760821268 | Jessica Vaughn | Audiologist-Hearing Aid Fitter | 2108 Texas Ave, Suite 3061, Alexandria, LA 71301-3944 | 2013-06-18 |
| 1821433624 | Jessica Vaughn | Anesthesiology | 8700 Beverly Blvd Ste 8211, West Hollywood, CA 90048-1804 | 2013-05-07 |
| Street Address |
3640 WESTGATE CENTER CIR STE A |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780145821 | Willie Ray Mccoy IIi | Social Worker | 3640 Westgate Center Cir Ste A, Winston Salem, NC 27103-3056 | 2019-03-29 |
| 1487111845 | Kathy Lowery | Counselor | 3640 Westgate Center Cir Ste A, Winston Salem, NC 27103-3056 | 2019-02-21 |
| 1760946966 | Jennifer Thi Nguyen | Physician Assistant | 3640 Westgate Center Cir Ste A, Winston Salem, NC 27103-3056 | 2019-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932723301 | Open Hearts Healing Minds | Counselor | 2714 Henning Dr Ste 4, Winston Salem, NC 27106-4502 | 2020-06-02 |
| 1497385595 | Aereil Moore | Counselor | 655 West 4th St, Winston Salem, NC 27101 | 2020-01-17 |
| 1568000610 | Lynn Bentley | Counselor | 4945 Century Oaks Ln, Winston Salem, NC 27106-8721 | 2019-12-18 |
| 1467007468 | Teresa Flake | Counselor | 605 W 24 1/2 St, Winston Salem, NC 27105-4904 | 2019-08-06 |
| 1346711827 | Allison Colette Steinhaus | Counselor | 8025 Northpoint Blvd, Winston Salem, NC 27105 | 2018-12-10 |
| 1750888038 | Moore Ways To Success LLC | Counselor | 500 W 4th St Ste 203g, Winston Salem, NC 27101-2782 | 2018-04-12 |
| 1336643386 | Aileen Imana Lassiter | Counselor | 1462 Cherry St Apt 121, Winston Salem, NC 27105-5888 | 2018-03-22 |
| 1194228049 | Anjanette Gilley Benjamin | Counselor | 650 Highland Ave Ste 1000, Winston Salem, NC 27101 | 2018-03-16 |
| 1538676481 | Aubrey Carr Wendelboe | Counselor | 3000 Bethesda Pl Ste 103, Winston Salem, NC 27103-3323 | 2018-01-01 |
| 1528508330 | Janell Lafaye Jordan | Counselor | 5354 Villas Dr, Winston Salem, NC 27103-6462 | 2017-02-27 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
Please comment or provide details below to improve the information on JESSICA LYNN VAUGHN.
| 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.