Organization Active NPI

Elaine Vaughn Counseling LLC

  • Mental Health Counselor
  • Lacey, WA
National Provider Identifier
1780403097
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ELAINE VAUGHN COUNSELING LLC
Doing business as
Elaine Vaughn Counseling LLC
Practice address
1210 Sleater Kinney Rd SE
Lacey, WA 98503-2316
Phone
(360) 890-8838
NPI assigned
Oct 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Authorized official

Name
Elaine VaughnNPI 1255970554
Title
Owner
Phone
(360) 890-8838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1210 Sleater Kinney Rd SE
Lacey, WA 98503-2316

Mailing address

1210 Sleater Kinney Rd SE
Lacey, WA 98503-2316
Phone (360) 890-8838

Other names 1

  • Elaine Vaughn Counseling LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250421002398 WA Part B Supplier - Clinic/Group Practice 6305361528 Receives reassigned benefits from 1 practitioner
Practice locations: Lacey, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1780403097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 SLEATER KINNEY RD SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985032316",
            "telephone_number": "360-890-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 SLEATER KINNEY RD SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985032316",
            "telephone_number": "360-890-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINE VAUGHN COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-890-8838"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elaine Vaughn Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.