Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760637219 Individual Practitioner Male Practitioner

Willard Allen Vaughn , LPC

Counselor - Professional • Hampton, VA

Professional Overview & Biography Verified Profile Summary

Willard Vaughn, LPC is a registered healthcare professional specializing in Counselor - Professional in Hampton, VA. Practice services are available at 110 COLISEUM XING # 6045 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

110 Coliseum Xing # 6045

Hampton, VA 236665971

Telephone 8334645438
Fax 7575788226
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Hampton, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.3 Yrs
State Avg: 14.7 Yrs
Regional Practice Density
137 Specialists

Practicing in Hampton, VA (6609 Statewide)

Telehealth Adoption Rate
7.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-03
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License VA 0701007739

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License MD LC10487

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License IN 39003460A

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License DC PRC15236

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
319116800 (MD)
Medicaid State Provider ID
30015303970001 (VA)
Medicaid State Provider ID
070892283 (DC)
Medicaid State Provider ID
30050538 (IN)

Secondary Practice Locations

Online Provider Only, 722 S Liberty Street #120

Muncie, IN 47305

Phone: 8883660989

Online Provider Only, 8507 Oxon Hill Rd 200-1050

Ft Washington, MD 207444744

Phone: 8334645438

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2026

Counselor (License #LC10487 in MD)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2025

Counselor (License #PRC15236 in DC)

📍
Updated Practice Location December 11, 2024

Registered at 110 COLISEUM XING # 6045, HAMPTON, VA 236665971 (Tel: 8334645438)

📍
Updated Business Mailing Address December 11, 2024

Registered at 110 COLISEUM XING # 6045, HAMPTON, VA 236665971 (Tel: 8334645438)

👤
Provider Name / Credentials Updated March 25, 2022

Recorded as WILLARD VAUGHN, LPC

📍
Updated Business Mailing Address July 21, 2020

Registered at 5007C VICTORY BLVD # 118, YORKTOWN, VA 236935601 (Tel: 8334645438)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2020

Counselor (License #LC10487 in MD)

📍
Updated Practice Location May 25, 2020

Registered at 1730 GEORGE WASHINGTON MEM HWY STE F-6, YORKTOWN, VA 236934328 (Tel: 8334645438)

📍
Updated Practice Location June 25, 2018

Registered at 250 N FOURTH ST, HAMPTON, VA 23664 (Tel: 7575975103)

📍
Updated Business Mailing Address June 25, 2018

Registered at 250 N FOURTH ST, HAMPTON, VA 236641439 (Tel: 7575975103)

👤
Provider Name / Credentials Updated June 25, 2018

Recorded as WILLARD VAUGHN, MA, LPC, CPSC

NPI Profile Active November 25, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location November 25, 2008

Registered at 474 COLONIAL TRAIL W, SURRY, VA 23883 (Tel: 7572940037)

📍
Updated Business Mailing Address November 25, 2008

Registered at PO BOX 296, 474 COLONIAL TRAIL W, SURRY, VA 23883 (Tel: 7572940037)

👤
Provider Name / Credentials Updated November 25, 2008

Recorded as WILLARD VAUGHN, M.A., CP, QMHP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2008

Counselor

🟢
Initial NPI Registration & Enumeration November 25, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760637219
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 25, 2008
Last Update: July 03, 2026
Sole Proprietor: Yes

Mailing Address

110 Coliseum Xing # 6045

Hampton, VA 236665971

Phone: 8334645438

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.