Kenneth Gaughan, LPC, NBCC is a
Psychologist - Clinical based in Wasington, District Of Columbia. Kenneth Gaughan is licensed to practice in District Of Columbia (license number PRC14016) and his current practice location is
1030 15th St, Nw, Suite B1-170, Wasington, District Of Columbia. He can be reached at his office (for appointments etc.) via phone at
(180) 085-14390.
NPI number for Kenneth Gaughan is 1841714581 and his current mailing address is 1030 15th St Nw Ste B1-170, Washington, District Of Columbia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841714581.
Healthcare Provider's Profile
Full Name | Kenneth Gaughan |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 1030 15th St, Nw, Wasington, District Of Columbia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841714581
- Provider Enumeration Date: 08/02/2017
- Last Update Date: 05/19/2019
Medical Identifiers
Medical identifiers for Kenneth Gaughan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841714581 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | PRC14016 (District Of Columbia) | Secondary |
103TC0700X | Psychologist - Clinical | PRC14016 (District Of Columbia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Gaughan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kenneth Gaughan, LPC, NBCC 1030 15th St Nw Ste B1-170, Washington, DC 20005-1503 Ph: (800) 851-4390 | Kenneth Gaughan, LPC, NBCC 1030 15th St, Nw, Suite B1-170, Wasington, DC 20005 Ph: (180) 085-14390 |
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