Kathryn Vaughn LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

KATHRYN VAUGHN LLC

Practice address

3160 Main St Ste 102
Duluth, GA 30096-3461

Phone

(470) 426-5281

NPI assigned

May 14, 2019

Organization subpart

No

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

Authorized official

Name

Kathryn Irene Vaughn, LCSWNPI 1245701044

Title

Psychotherapist

Phone

(470) 426-5281

Specialties & licenses 1

Addresses

Other names 1

• Kathryn Vaughn LLC Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathryn Irene Vaughn, LCSW

  • Clinical Social Worker
  • Duluth, GA
  • NPI 1245701044
  Medicare reassignment NPD Authorized official
• Linda Yeager Scott, LPC

  • Mental Health Counselor
  • Suwanee, GA
  • NPI 1629627062
  NPD (past)

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571356800000",
    "number": "1083270227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3968 MAINSAIL CT",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965281",
            "telephone_number": "678-557-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 MAIN ST STE 102",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963461",
            "telephone_number": "470-426-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN VAUGHN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-10-18",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "470-426-5281",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathrynvaughn@petrichorcounseling.com",
            "affiliation": "N",
            "endpointDescription": "business email encrypted",
            "address_1": "3160 Main St Ste 102",
            "city": "Duluth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300963461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kathryn Vaughn LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Kathryn Vaughn LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Young Won Kang, MD
• Lyn Kanofsky-Greene, CLINICAL SOCIAL WORK
• Mozhgan Karimi, PTA
• Mary-Sydney Karsh, MD
• Dorigen K Kasparek, MD
• Kelley Kawamoto, BS, DC
• Clarence Cornell Kegler II, DDS
• Barbara Joan Kell, R.N.C.
• Tammy Thompson Keller, M.A., CADC-II
• Alexa Kelly

• Adult Mental Health Clinic/Center in Duluth, GA
• Providers in Duluth, GA by specialty
• Adult Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.