Jennifer N Vaughn, PCC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E-0003879-SUPV Issued in OH

Practice address

1501 Madison Road
Cincinnati, OH 45206-1706

Phone

(513) 354-5200

Fax

(513) 354-7115

NPI assigned

Jun 27, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Jennifer Vaughn-Brown Former name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Greater Cincinnati Behavioral Health Services

  • Community/Behavioral Health Agency
  • Walnut Hills, OH
  • NPI 1720251788
  Medicare reassignment NPD
• Greater Cincinnati Behavioral Health Services

  • Family Medicine Physician
  • Cincinnati, OH
  • NPI 1871486183
  NPD
• Greater Cincinnati Behavioral Health Services

  • Family Medicine Physician
  • Amelia, OH
  • NPI 1942193263
  NPD
• Greater Cincinnati Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Walnut Hills, OH
  • NPI 1588626097
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1295762870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 MADISON ROAD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061706",
            "telephone_number": "513-354-5200",
            "fax_number": "513-354-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MADISON ROAD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061706",
            "telephone_number": "513-354-5200",
            "fax_number": "513-354-7115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "975 Kingsview Dr",
            "address_2": "Bldg A",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OH",
            "postal_code": "450369562",
            "country_code": "US",
            "telephone_number": "513-228-7800",
            "fax_number": "513-228-7846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "JENNIFER",
        "middle_name": "N",
        "credential": "PCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E-0003879-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED PROVIDER ID",
            "identifier": "62-00070",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000250852",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH #",
            "identifier": "11749390",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "VAUGHN-BROWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Darnell Marie Vaughn
• Diarra Vaughn
• Donna Rae Vaughn, LPN
• George M Vaughn, CO, LO
• James Curtis Vaughn, PA-C
• Kristin R Vaughn, LPCC
• Lindsay Caroline Vaughn
• Samuel Vaughn
• Mary Lou Vaught, RN, CRNA
• Deborah R Vauls

• Professional Counselor in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.