DR. BONNIE T VAUGHN (NPI# 1326347121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326347121 |
| Entity Type | Individual |
| Full Name | DR. BONNIE T VAUGHN |
| Credential | RH.D |
| Practice Address |
2135 W Ramada Ln Carbondale IL 62901-5326 |
| Mailing Address |
2032 Elm St Murphysboro IL 62966-1930 |
| Practice Telephone | 6184573318 |
| Practice Fax Number | 6185490132 |
| Mailing Telephone | 6182011790 |
| Mailing Fax Number | 6185490132 |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2011-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
2135 W RAMADA LN |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-5326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528148988 | Ada Elizabeth Vieceli | Counselor | 2135 W Ramada Ln, Carbondale, IL 62901-5326 | 2006-10-17 |
| 1346512589 | Matthew Fred | Rehabilitation Counselor | 2135 W Ramada Ln, Carbondale, IL 62901-5326 | 2012-02-03 |
| 1760622682 | Southern Illinois Center for Independent Living | Voluntary or Charitable | 2135 W Ramada Ln, Carbondale, IL 62901-5326 | 2009-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847359 | Shariece Inez Hastings | Counselor | 904 E Cindy St, Carbondale, IL 62901-3318 | 2020-09-23 |
| 1780156547 | Kw Therapy, LLC | Counselor | 112 Blue Creek Overlook, Carbondale, CO 81623-7705 | 2018-12-18 |
| 1043696982 | Dominique Davis-warner | Counselor | 1337b Springer Ridge Rd, Carbondale, IL 62902-7902 | 2015-08-03 |
| 1407275589 | Eileen Gielow | Counselor | 9 Raccoon Ct, Carbondale, CO 81623-8756 | 2014-04-15 |
| 1932527728 | Marsha Perfetti | Counselor | 241 S Lewis Ln, Carbondale, IL 62901-3443 | 2014-03-31 |
| 1255670303 | Beth A Morrison | Counselor | 118 Glopen Rd, Carbondale, IL 62901-5860 | 2013-02-10 |
| 1861745911 | Turkessa Crystal Jackson | Counselor | 1144 E Rendleman St, Carbondale, IL 62901-3428 | 2012-10-25 |
| 1669783601 | Cindy P Johnson | Counselor | 35 Albany Rd Ste E, Carbondale, IL 62903-7647 | 2010-06-24 |
| 1164661716 | Peter N. Haller | Counselor | 604 E College St Ste 101, Carbondale, IL 62901-3309 | 2009-02-05 |
| 1366584906 | F Dale Budslick | Counselor | 607 W Main, #100, Carbondale, IL 62901 | 2007-02-12 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
Please comment or provide details below to improve the information on DR. BONNIE T VAUGHN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.