Shonda S Vaughn, LPC/MHSP, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4262 Issued in TN

Practice address

745 S Church St Ste 805
Murfreesboro, TN 37130-4983

Phone

(615) 584-2928

NPI assigned

May 27, 2020

Last updated

Nov 12, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Care Clinic LLC

  • Rural Health Clinic/Center
  • McMinnville, TN
  • NPI 1780924456
  Medicare reassignment NPD
• Family Care Wellness LLC

  • Rural Health Clinic/Center
  • McMinnville, TN
  • NPI 1588325310
  Medicare reassignment NPD

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668211200000",
    "number": "1336762251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 S CHURCH ST STE 805",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371304983",
            "telephone_number": "615-584-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 S CHURCH ST STE 805",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371304983",
            "telephone_number": "615-584-2928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Wilson Pike Cir Ste 223",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370273225",
            "country_code": "US",
            "telephone_number": "615-584-2928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "SHONDA",
        "middle_name": "S",
        "credential": "LPC/MHSP, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2022-11-12",
        "certification_date": "2022-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "4262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth L Vargas
• Carol Elizabeth Varnado, MD
• Amber Vassar, BSW
• Roderick Andrew Vaughan, MD
• Randy D Vaughn, C.R.N.A.
• Sue Abel Vavrock, AU.D.
• Arvind Harold Vaz, M.D.
• Milagros Gonzales Vazquez, PT
• Joel Phillip Veitschegger, D.M.D.
• Leanne Venable, NP

• Mental Health Counselor in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.