Active NPI
Terri L Vaughn, LCSW
- Professional Counselor
- High Point, NC
National Provider Identifier
1467463166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C004390
- Practice address
- 200 W Parkway Ave
High Point, NC 27262-3026 - Phone
- (336) 707-2522
- Fax
- (336) 887-4596
- NPI assigned
- Aug 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C004390 | NC | Primary |
Addresses
Primary practice location
200 W Parkway Ave
High Point, NC 27262-3026
Mailing address
200 W Parkway Ave
High Point, NC 27262-3026
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1380K | Other | NC | BLUECROSS BLUESHIELD |
| 189257 | Other | NC | MEDCOST |
| 6002992 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C004390 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370217600000",
"number": "1467463166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W PARKWAY AVE",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272623026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W PARKWAY AVE",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272623026",
"telephone_number": "336-707-2522",
"fax_number": "336-887-4596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "TERRI",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2013-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "C004390",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "1380K",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "189257",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6002992",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.