Bertha Vaughn, AMFT, APCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1845 Chicago Ave Ste B
Riverside, CA 92507-2366

Phone

(951) 465-3664

NPI assigned

Feb 24, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bertha Lopez Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Renewing Hope Strategies

  • Mental Health Counselor
  • Riverside, CA
  • NPI 1033802368
  NPD
• Renewing Hope Family Counseling Center, Inc

  • Marriage & Family Therapist
  • Murrieta, CA
  • NPI 1235649260
  NPD (past)

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1245986603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 DAWES ST APT 71",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033538",
            "telephone_number": "323-817-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 CHICAGO AVE STE B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072366",
            "telephone_number": "951-465-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "BERTHA",
        "name_prefix": "Mrs.",
        "credential": "AMFT, APCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "E2935267",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "bvaughn@renewing-hope.org",
            "affiliation": "N",
            "address_1": "3940 Dawes St Apt 71",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925033538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BERTHA",
            "last_name": "LOPEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Nicole Vasquez, FNP-C
• Veronica Vasquez
• Naren Vasudevan, PA
• Alexis Vaughn
• Alicia Marie Vaughn, CMT
• Fleasha S Vaughn
• Gustavo Vazquez Gonzalez, DDS
• Ana Vazquez Robles
• Donaji Vazquez Vazquez
• Sarajeva Vazquez-Guerrero

• Mental Health Counselor in Riverside, CA
• Providers in Riverside, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.