Carla M Vaughn

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

77698 Issued in TX

Practice address

4721 Garth Rd
Baytown, TX 77521-2153

Phone

(281) 215-3176

NPI assigned

Sep 16, 2024

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 TX

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Changing Tides Wellness and Advisors PLLCGroup PAC ID 9335580711, 2 clinicians

Clearhope Counseling and Wellness Center PCGroup PAC ID 6800132358, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Changing Tides Wellness and Advisors PLLC

  • Clinical Social Worker
  • Baytown, TX
  • NPI 1588429781

  Professional

  Medicare reassignment Care Compare group NPD
• Clearhope Counseling and Wellness Center, PC

  dba Clearhope Counseling and Wellness

  • Counselor
  • Pasadena, TX
  • NPI 1821587452
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1710714571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11918 PEARL LN",
            "city": "MONT BELVIEU",
            "state": "TX",
            "postal_code": "775356816",
            "telephone_number": "713-922-7726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212153",
            "telephone_number": "281-215-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "CARLA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "77698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Jean Vanderwerff, LAT, ATC
• Jamey Dale Vanlandingham
• Vanz Social Work Consultants LLC
• Marissa Varela
• Cynthia Maye Vargas
• Sabrina Vaughn, LMT
• Tomauro Veasley, LMFT
• Anabel Vega Negron, DMD
• Daisy Acevedo Vega, BA SLP ASSISTANT
• Mario Vega, LPC

• Professional Counselor in Baytown, TX
• Providers in Baytown, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.