MR. WILLARD ALLEN VAUGHN (LPC) – Professional Counselor, NPI 1760637219
Professional Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. WILLARD ALLEN VAUGHN (LPC)
ONLINE PROVIDER ONLY
8507 OXON HILL RD 200-1050
FT WASHINGTON, MD 207444744
Phone: (833) 464-5438
Fax: (757) 578-8226
Type: Location
Online Provider Only
722 S Liberty Street #120
Muncie, IN 47305
Phone: (888) 366-0989
Type: Location
5007C VICTORY BLVD # 118
YORKTOWN, VA 236935601
Phone: (833) 464-5438
Fax: (757) 578-8226
Type: Mailing
1730 GEORGE WASHINGTON MEM HWY STE F-6
YORKTOWN, VA 236934328
Phone: (833) 464-5438
Fax: (757) 578-8226
Type: Location
110 COLISEUM XING # 6045
HAMPTON, VA 236665971
Phone: (833) 464-5438
Fax: (757) 578-8226
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-06-17
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240617002813 | I | Mental Health Counselor | VA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 20744)
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