Individual provider Active NPI

Melissa Vaughns-Guein, LCSW, LSCSW

  • Social Worker
  • Grandview, MO
National Provider Identifier
1184091936
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2015011741 Issued in MO
Practice address
721 Main St Ste 101
Grandview, MO 64030-2370
Phone
(816) 588-5090
NPI assigned
Aug 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2017042411 MO
Social Worker 104100000X 2015011741 MO Primary

Addresses

Primary practice location

721 Main St Ste 101
Grandview, MO 64030-2370

Mailing address

14806 Pine View Dr
Grandview, MO 64030-4573
Phone (816) 588-5090

Other practice location 1

14806 Pine View Dr
Grandview, MO 64030-4573
Phone (816) 588-5090

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
2015011741MOMDSocial Worker
2017042411MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Authentic Talk Clinical Current Accepting new patients

Locations

721 Main St
Ste 101
Grandview, MO 64030
Phone (816) 588-5090

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": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1184091936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14806 PINE VIEW DR",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640304573",
            "telephone_number": "816-588-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 MAIN ST STE 101",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640302370",
            "telephone_number": "816-588-5090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14806 Pine View Dr",
            "address_purpose": "LOCATION",
            "city": "Grandview",
            "state": "MO",
            "postal_code": "640304573",
            "country_code": "US",
            "telephone_number": "816-588-5090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHNS-GUEIN",
        "first_name": "MELISSA",
        "credential": "LCSW, LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2017042411",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2015011741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandview, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.