Willard Allen Vaughn, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701007739 Issued in VA

Practice address

110 Coliseum Xing # 6045
Hampton, VA 23666-5971

Phone

(833) 464-5438

Fax

(757) 578-8226

NPI assigned

Nov 25, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 4

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: willardvaughn@tdh.allscriptsdirect.net

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.

• The Milieu Therapeutic Services, PC

  • Mental Health Counselor
  • Hampton, VA
  • NPI 1679068597
  Medicare reassignment NPD Authorized official
• The Milieu Therapeutic Services, ,PC

  • Community/Behavioral Health Agency
  • Yorktown, VA
  • NPI 1750088274

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Counselor

  NPD

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1760637219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 COLISEUM XING # 6045",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665971",
            "telephone_number": "833-464-5438",
            "fax_number": "757-578-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 COLISEUM XING # 6045",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665971",
            "telephone_number": "833-464-5438",
            "fax_number": "757-578-8226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Online Provider Only",
            "address_2": "722 S Liberty Street #120",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "47305",
            "country_code": "US",
            "telephone_number": "888-366-0989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "ONLINE PROVIDER ONLY",
            "address_2": "8507 OXON HILL RD 200-1050",
            "address_purpose": "LOCATION",
            "city": "FT WASHINGTON",
            "state": "MD",
            "postal_code": "207444744",
            "country_code": "US",
            "telephone_number": "833-464-5438",
            "fax_number": "757-578-8226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "WILLARD",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-25",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC10487",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007739",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003460A",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC15236",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "319116800",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30015303970001",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070892283",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30050538",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Vanes, PTA
• Patricia Ann Vannucchi, PT
• Mary Ellen Varney, MS CCC SLP
• Ingrid Irene Vaughan, M.D.
• Tamara Vaughn, APRN, FNP-C
• Coral Del Mar Vazquez Minondo, AU.D
• Mohamed Vazquez, M.D.
• Andrea Veal, LCSW
• Megan Elizabeth Vega, LPC
• Zacarrah Venning

• Professional Counselor in Hampton, VA
• Providers in Hampton, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.