Kallie Lynn Vaughn, LCDC III

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCDCIII.161493 Issued in OH

Practice address

527 N Meridian Rd
Youngstown, OH 44509-1227

Phone

(330) 797-0070

Fax

(330) 797-9146

NPI assigned

Feb 4, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1053599878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 N MERIDIAN RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445091227",
            "telephone_number": "330-797-0070",
            "fax_number": "330-797-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 N MERIDIAN RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445091227",
            "telephone_number": "330-797-0070",
            "fax_number": "330-797-9146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 High St NE",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444811222",
            "country_code": "US",
            "telephone_number": "330-394-9090 x118",
            "fax_number": "330-394-8163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "KALLIE",
        "middle_name": "LYNN",
        "credential": "LCDC III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-04",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LCDCIII.161493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vascular Medicine & Surgical Associates, LLP
• Rachele M Vass, CDCA
• Leonidas G Vassilaros, M.D.
• Annberlyne Vaughn
• Brandi L Vaughn
• Lakeysha N Vaughn
• Saundra Vaughn
• Janay S Veal
• Kathy Ann Vecchio, MSCCC SLP
• Jaslyn Vega

• Addiction (Substance Use Disorder) Counselor in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.