VICTOR LESLIE VAUGHN JR. (NPI# 1548823768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548823768 |
| Entity Type | Individual |
| Full Name | VICTOR LESLIE VAUGHN JR. |
| Practice Address |
143 Gougler Ave Kent OH 44240-2401 |
| Mailing Address |
11841 Lake Ave Apt 18 Lakewood OH 44107-1802 |
| Practice Telephone | 3306774124 |
| Mailing Telephone | 4404544379 |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2019-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
090605 | OH | Behavioral Health & Social Service Providers |
| Street Address |
143 GOUGLER AVE |
| City | KENT |
| State | OH |
| Zip Code | 44240-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275520413 | Rosanna Dean-scott | Family Medicine | 143 Gougler Ave, Kent, OH 44240-2401 | 2005-10-03 |
| 1437775616 | Dana Webb | Pharmacist | 143 Gougler Ave, Kent, OH 44240-2401 | 2020-06-23 |
| 1013557164 | Patrick H Kerr | Peer Specialist | 143 Gougler Ave, Kent, OH 44240-2401 | 2020-01-07 |
| 1063055218 | Christina Williams | Case Manager/Care Coordinator | 143 Gougler Ave, Kent, OH 44240-2401 | 2019-10-21 |
| 1730741406 | Terance Travon Eaton | Case Manager/Care Coordinator | 143 Gougler Ave, Kent, OH 44240-2401 | 2019-07-02 |
| 1548828668 | Kodie Lincoln Mccully | Counselor | 143 Gougler Ave, Kent, OH 44240-2401 | 2019-06-04 |
| 1043770597 | Marina Jean Miceli | Counselor | 143 Gougler Ave, Kent, OH 44240-2401 | 2019-03-21 |
| 1962976621 | Stephanie Lynn Gardner | Case Manager/Care Coordinator | 143 Gougler Ave, Kent, OH 44240-2401 | 2019-01-16 |
| 1609350735 | Taryn R. Burhanna | Nurse Practitioner | 143 Gougler Ave, Kent, OH 44240 | 2018-09-25 |
| 1831671627 | Arieanna Lenora Ayala | Counselor | 143 Gougler Ave, Kent, OH 44240-2401 | 2018-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201887 | Julia Repasky | Speech-Language Pathologist | 4170 Oh-43, Kent, OH 44240 | 2020-09-24 |
| 1811515000 | Natasha Loveridge | Speech-Language Pathologist | 1949 Oh-59, Suite 202, Kent, OH 44240 | 2020-07-14 |
| 1215569256 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 247 Tallmadge Rd., Kent, OH 44240 | 2020-02-07 |
| 1710526702 | Rebecca K Cibik | Pediatrics | 2497 State Route 59, Kent, OH 44240 | 2019-12-23 |
| 1073099834 | Sean Joseph Hiemstra | Case Manager/Care Coordinator | 5982 Rhodes Road Kent Ohio 44240, Kent, OH 44240 | 2018-07-16 |
| 1740798081 | Mason Brain Yoder | Counselor | 1025 Erin Drive, Kent, OH 44240 | 2018-01-22 |
| 1710405055 | Ashley Barczok | Nurse Practitioner | 5982 Rhodes Road, Kent, OH 44240 | 2017-09-07 |
| 1073963930 | Kimberly Ruth Griffith | Counselor | 190 Currie Hall Pkwy Ste A, Kent, OH 44240 | 2016-06-21 |
| 1801257456 | Ra'mone Williams | Audiologist | 717 Beryl Dr, Kent, OH 44240 | 2016-03-10 |
| 1730546615 | Christina Cole | Nurse Practitioner | 1675 E Main St Ste 328, Kent, OH 44240 | 2016-01-22 |
| Find all providers in zip 44240 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041048 | Shawna Lynn Mokler | Counselor | 841 Central Ave N Ste 215, Kent, WA 98032-2014 | 2020-10-22 |
| 1396216974 | Wellness Counseling Services LLC | Counselor | 19309 68th Avenue South R101-c105, Kent, WA 98032-2105 | 2018-12-08 |
| 1417426735 | Leonard James Irving Sr. | Counselor | 3407 S 253rd St, Kent, WA 98032-9746 | 2018-11-15 |
| 1649747387 | Hannah Grace Rosborough | Counselor | 19435 68th Ave S Bldg S Ste 109, Kent, WA 98032 | 2018-10-31 |
| 1548755853 | Winter Nicole Finch | Counselor | 21851 84th Ave S Ste 101, Kent, WA 98032-1958 | 2018-06-28 |
| 1851892541 | Kortni M Collins | Counselor | 785 Silver Meadows Blvd, Kent, OH 44240-1919 | 2018-02-27 |
| 1740798081 | Mason Brain Yoder | Counselor | 1025 Erin Drive, Kent, OH 44240 | 2018-01-22 |
| 1750732921 | Janice Melinda Davis | Counselor | 5624 S 231st Pl, Kent, WA 98032-6409 | 2016-06-28 |
| 1093111585 | Antony Lolo Xczar | Counselor | 325 W Gowe Street, Kent, WA 98032 | 2014-11-10 |
| 1609290535 | Clara Saeteurn | Counselor | 14024 Se 280th Pl, Kent, WA 98042-7413 | 2014-02-12 |
| Find all providers in KENT | ||||
Please comment or provide details below to improve the information on VICTOR LESLIE VAUGHN JR..
| 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.