Nur Banu Ibaoglu Vaughn, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4746 Issued in GA

Practice address

4015 S Cobb Dr SE Ste 100
Smyrna, GA 30080-6315

Phone

(678) 318-3616

Fax

(678) 318-3616

NPI assigned

Aug 13, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Halcyon Counseling and Psychotherapy

  • Mental Health Counselor
  • Atlanta, GA
  • NPI 1396531398
  NPD Authorized official

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1396937413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 S COBB DR SE STE 100",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806315",
            "telephone_number": "678-318-3616",
            "fax_number": "678-318-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 S COBB DR SE STE 100",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806315",
            "telephone_number": "678-318-3616",
            "fax_number": "678-318-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBAOGLU VAUGHN",
        "first_name": "NUR",
        "middle_name": "BANU",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "4746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Frances Offiah Idowu, NP-C
• Aya Ieki, ATC
• Blessing Ada Ikonne, NP- C
• In Time of Need, Inc.
• Independent Physical Therapy of Georgia, LLC

• Professional Counselor in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.