Individual provider Active NPI

Kena Diane Vaughn, LPC

  • Counselor
  • Enterprise, AL
National Provider Identifier
1144042409
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC05029 Issued in AL
Practice address
1247 Rucker Blvd Ste a
Enterprise, AL 36330-3631
Phone
(334) 714-6819
NPI assigned
Oct 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC05029 AL Primary

Addresses

Primary practice location

1247 Rucker Blvd Ste a
Enterprise, AL 36330-3631

Mailing address

1247 Rucker Blvd Ste a
Enterprise, AL 36330-3631
Phone (334) 714-6819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC05029ALMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vaughn Counseling, LLC Counselor CurrentSince Nov 1, 2024 Accepting new patients

Locations

1247 Rucker Blvd
Ste A
Enterprise, AL 36330
Phone (334) 714-6819

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1144042409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 RUCKER BLVD STE A",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363303631",
            "telephone_number": "334-714-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 RUCKER BLVD STE A",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363303631",
            "telephone_number": "334-714-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "KENA",
        "middle_name": "DIANE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "LPC05029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.