Hazel Jeanette Vaughn, M.ED., LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

015435 Issued in GA

Practice address

1690 Stone Village LN NW Ste 501
Kennesaw, GA 30152-7777

Phone

(706) 675-5366

NPI assigned

Sep 8, 2022

Last updated

Feb 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1205557105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 STONE VILLAGE LN NW STE 501",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527777",
            "telephone_number": "706-675-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 STONE VILLAGE LN NW STE 501",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527777",
            "telephone_number": "706-675-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "HAZEL",
        "middle_name": "JEANETTE",
        "name_prefix": "Mrs.",
        "credential": "M.ED., LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "015435",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "GA",
            "license": "1616642",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenya Vargas-Soto
• Amy Lynn Varner, M.D.
• Smita Upkar Varshney, MD
• Savannah Vasquez, BCBA
• Candace Frederick Vaughn, MD
• Kimeka Renay Vayens, NP
• Yasmin Vaz
• Marilyn Veal, ED.S, M.S.
• Bailey Venable, RBT
• Iliana I Vermillion, NP-C

• Professional Counselor in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.