{"npi":"1760637219","type":"NPI-1","status":"active","name":{"display":"Mr. Willard Vaughn Lpc","other":[],"first":"WILLARD","last":"VAUGHN","middle":"ALLEN","credential":"LPC"},"specialty":{"primary_taxonomy":"101YP2500X","primary_taxonomy_description":"Professional Counselor","slug":"professional-counselor","schema_org_specialty":null,"all":[{"code":"101YP2500X","description":"Professional Counselor","primary":false,"state":"DC","license":"PRC15236"},{"code":"101YP2500X","description":"Professional Counselor","primary":false,"state":"MD","license":"LC10487"},{"code":"101YM0800X","description":"Mental Health Counselor","primary":false,"state":"IN","license":"39003460A"},{"code":"101YP2500X","description":"Professional Counselor","primary":true,"state":"VA","license":"0701007739"}]},"addresses":[{"purpose":"LOCATION","street_1":"110 COLISEUM XING # 6045","city":"HAMPTON","state":"VA","postal_code":"236665971","country_code":"US","phone":"8334645438","fax":"7575788226"},{"purpose":"MAILING","street_1":"110 COLISEUM XING # 6045","city":"HAMPTON","state":"VA","postal_code":"236665971","country_code":"US","phone":"8334645438","fax":"7575788226"}],"license":{"state":"VA","number":"0701007739"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"319116800","state":"MD","issuer":null},{"type_code":"05","label":"Medicaid","value":"30015303970001","state":"VA","issuer":null},{"type_code":"05","label":"Medicaid","value":"070892283","state":"DC","issuer":null},{"type_code":"05","label":"Medicaid","value":"30050538","state":"IN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240617002813","type_code":"14-E2","type_desc":"PRACTITIONER - MENTAL HEALTH COUNSELOR","state":"VA","pac_id":"2365873510"}]},"enumeration_date":"2008-11-25","last_updated":"2025-12-08","_meta":{"source":"NPPES","snapshot_date":"2025-12-08","doc_url":"https://findmynpi.com/api"}}