Individual provider Active NPI

Jason Vaughan French, LPC. LSATP

  • Professional Counselor
  • Farmville, VA
National Provider Identifier
1609920420
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701004334 Issued in VA
Practice address
2720 Layne Street Ext
Farmville, VA 23901-3069
Phone
(434) 391-4306
Fax
(434) 392-6385
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701004334 VA
Professional Counselor 101YP2500X 0701004334 VA Primary

Addresses

Primary practice location

2720 Layne Street Ext
Farmville, VA 23901-3069

Mailing address

PO Box 173
Farmville, VA 23901-0173
Phone (434) 391-4306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20260408002470 VA Practitioner - Mental Health Counselor 5991280505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2720 Layne St Extension
Suite B
Farmville, VA 23901-3069
Phone (434) 391-4306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701004334VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clearview Counseling PLLC Mental Health CurrentSince Sep 20, 2022 Accepting new patients
Crossroads Services Board Mental Health PastSince Feb 20, 2016 Accepting new patients
Vaught Christian Counseling PC Professional Past Accepting new patients

Locations

2720 Layne Street Ext
Ste B
Farmville, VA 23901

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1609920420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239010173",
            "telephone_number": "434-391-4306",
            "fax_number": "434-392-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 LAYNE STREET EXT",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239013069",
            "telephone_number": "434-391-4306",
            "fax_number": "434-392-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRENCH",
        "first_name": "JASON",
        "middle_name": "VAUGHAN",
        "credential": "LPC. LSATP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701004334",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmville, VA

Sources for this page

Verify at the official NPI Registry.