Active NPI
Susan Vereecke Vaughn, LPC
- Professional Counselor
- Kalamazoo, MI
National Provider Identifier
1932091113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401225365
- Practice address
- 6120 Stadium Dr Ste 100
Kalamazoo, MI 49009-3022 - Phone
- (269) 366-0650
- NPI assigned
- Jul 21, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401225365 | MI | Primary |
Addresses
Primary practice location
6120 Stadium Dr Ste 100
Kalamazoo, MI 49009-3022
Mailing address
8340 Logan Bay St
Kalamazoo, MI 49009-5981
Phone (248) 974-1917
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6120 Stadium Dr
Suite a
Kalamazoo, MI 49009-3022
Phone (269) 366-0650
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401225365 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teletherapy Group, LLC | Professional | Current | Accepting new patients |
Locations
6120 Stadium Dr
Ste A
Kalamazoo, MI 49009
Phone (269) 366-0650
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753056000000",
"number": "1932091113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8340 LOGAN BAY ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490095981",
"telephone_number": "248-974-1917",
"fax_number": "248-974-1917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6120 STADIUM DR STE 100",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490093022",
"telephone_number": "269-366-0650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "SUSAN",
"middle_name": "VEREECKE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-21",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401225365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.