JESSICA L VAUGHN


Address: 111 S Broad St Ste 209, Lancaster, OH 43130-4383
Phone: 4402608300

JESSICA L VAUGHN (NPI# 1801380639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801380639
Entity Type Individual
Full Name JESSICA L VAUGHN
Other Name JESSICA L FULLER
Credential CDCA, QMHS AC
Practice Address 111 S Broad St Ste 209
Lancaster
OH 43130-4383
Mailing Address 434 Eastland Rd
Berea
OH 44017-1217
Practice Telephone 4402608300
Mailing Telephone 4402342006
Enumeration Date 2018-06-15
Last Update Date 2020-04-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CDCA171018 OH Behavioral Health & Social Service Providers
N 172V00000X Community Health Worker OH Other Service Providers
N 171M00000X Case Manager/Care Coordinator OH Other Service Providers

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Office Location

Street Address 111 S BROAD ST STE 209
City LANCASTER
State OH
Zip Code 43130-4383

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538206545 Melanie Marie Perkins-fairbanks Nurse Practitioner 111 S Broad St Ste 209, Lancaster, OH 43130 2007-01-31
1932714847 Kaitlyn Urbaniak Community Health Worker 111 S Broad St Ste 209, Lancaster, OH 43130-4383 2020-09-09
1164069365 Kari N Buehler Registered Nurse 111 S Broad St Ste 209, Lancaster, OH 43130-4383 2019-12-06
1114577327 David Paul Sherman Counselor 111 S Broad St Ste 209, Lancaster, OH 43130-4383 2019-09-19
1497315212 Rachel Elizabeth Dannenhauer Community Health Worker 111 S Broad St Ste 209, Lancaster, OH 43130-4383 2019-06-14
1760048722 Susannah Rauch Social Worker 111 S Broad St Ste 209, Lancaster, OH 43130-4383 2019-05-15
1750945267 Mellissa Masten Case Manager/Care Coordinator 111 S Broad St Ste 209, Lancaster, OH 43130-4383 2019-04-30
1508429325 Mark Perry Peer Specialist 111 S Broad St Ste 209, Lancaster, OH 43130-4383 2019-04-17
1609332105 Adam Farley Case Manager/Care Coordinator 111 S Broad St Ste 209, Lancaster, OH 43130-4383 2019-02-20
1710441530 Alison Lamp Peer Specialist 111 S Broad St Ste 209, Lancaster, OH 43130-4383 2019-01-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477174027 Omnis Medical Group Family Medicine 401 North Ewing Street, Lancaster, OH 43130 2020-05-05
1609408293 Matthew Scott Schaitel Massage Therapist 323 South Broad Street, Lancaster, OH 43130 2020-02-11
1881226058 Hollie Michelle Aneshansley Massage Therapist 323 South Broad St, Lancaster, OH 43130 2020-02-06
1184180127 Natural Remedies Massage Clinic/Center 323 S. Broad St., Lancaster, OH 43130 2019-02-14
1861958126 Jaclyn R Lamphier Massage Therapist 323 S. Broad St, Lancaster, OH 43130 2019-02-12
1457849549 Regina A Rienschield Counselor Fairfield County Counseling Center, 117 W Main St, Suite 107, Lancaster, OH 43130 2018-04-25
1255830212 Rem Ohio Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1431 Pleasant Springs Blvd, Lancaster, OH 43130 2018-02-06
1275032328 Rem Ohio Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1410 Pleasant Springs Blvd, Lancaster, OH 43130 2018-02-05
1295241966 Mark Jason Kraft Hearing Instrument Specialist 618 East Main St., Lancaster, OH 43130 2017-12-18
1447611520 Cindy Reef Counselor 624 E. Main Street, Lancaster, OH 43130 2016-03-16
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1164053864 John Mcglothin Counselor 220 Pioneer Ct, Lancaster, TX 75146-3035 2020-01-31
1306476528 Kelly Mason Counselor 313 W Liberty St Ste 124, Lancaster, PA 17603-2766 2020-01-16
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1508418336 Marilyn Kay Thomas Counselor 1812 Pioneer Way, Lancaster, TX 75146-1902 2019-07-11
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Competitor

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City LANCASTER
Zip Code 43130

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Dataset Information

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.

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