Myralynn H Vaughn

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH19226 Issued in FL

Practice address

1400 Old Dixie Hwy
Saint Augustine, FL 32084-4190

Phone

(904) 829-2273

Fax

(904) 824-0724

NPI assigned

Jan 22, 2020

Last updated

May 15, 2025By 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 FL

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Epic Community Services IncGroup PAC ID 5193254290, 6 clinicians

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.

• Epic Community Services, Inc

  • Community/Behavioral Health Agency
  • St Augustine, FL
  • NPI 1831279280
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1720618432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13115 HARBOUR VISTA CIR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320805104",
            "telephone_number": "904-615-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 OLD DIXIE HWY",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320844190",
            "telephone_number": "904-829-2273",
            "fax_number": "904-824-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "MYRALYNN",
        "middle_name": "H",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH19226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Baldwin Vanjaria, ARNP
• Arelis Angelina Vargas
• Elizabeth Winegeart Vargas
• Vassallo Eye Institute PA
• John M Vassallo, MD
• Stephanie Jean Vavilala, BCBA
• Francisco Q Vazquez
• Jose Raul Vazquez
• Christine Laila Vega, RD
• Malerie Renee Veillon, DPT

• Mental Health Counselor in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.