NPIMap

Organization Active NPI

Vaughters Specialized Consultative Services LLC

  • Community/Behavioral Health Agency
  • Statesville, NC
National Provider Identifier
1851705446
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VAUGHTERS SPECIALIZED CONSULTATIVE SERVICES LLC
Practice address
211 S Center St Ste 409
Statesville, NC 28677-5873
Phone
(704) 232-1470
NPI assigned
Jun 11, 2014
Last updated
Dec 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Authorized official

Name
Belinda Vaughters
Title
Owner
Phone
(704) 232-1470

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8236 NC
Mental Health Counselor 101YM0800X 4677 NC
Professional Counselor 101YP2500X A13036 NC
Psychologist 103T00000X 4088 NC
Psychologist 103T00000X 2514 NC
Clinical Social Worker 1041C0700X C008628 NC
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

211 S Center St Ste 409
Statesville, NC 28677-5873

Mailing address

3003 Deep Cove Dr NW
Concord, NC 28027-2544

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210106001712 NC Part B Supplier - Clinic/Group Practice 1052694890 Receives reassigned benefits from 2 practitioners
Practice locations: Statesville, NC

National Provider Directory

National Provider Directory

Locations

211 S Center St
Ste 409
Statesville, NC 28677
Phone (704) 232-1470

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1851705446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 DEEP COVE DR NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280272544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S CENTER ST STE 409",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775873",
            "telephone_number": "704-232-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAUGHTERS SPECIALIZED CONSULTATIVE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "VAUGHTERS",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-232-1470"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "8236",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "4677",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A13036",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "4088",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2514",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008628",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.