Active NPI
Gayle Maureen Vaughan, MA, LSC
- School Counselor
- St Louis Park, MN
National Provider Identifier
1326254996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 404390
- Practice address
- 2240 Ridge Dr
#14
St Louis Park, MN 55416-5627 - Phone
- (612) 720-3614
- NPI assigned
- May 14, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 404390 | MN | Primary |
Addresses
Primary practice location
2240 Ridge Dr
#14
St Louis Park, MN 55416-5627
Mailing address
2240 Ridge Dr
#14
St Louis Park, MN 55416-5627
Phone (612) 720-3614
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 404390 | MN | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326254996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 RIDGE DR",
"address_2": "#14",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554165627",
"telephone_number": "612-720-3614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 RIDGE DR",
"address_2": "#14",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554165627",
"telephone_number": "612-720-3614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHAN",
"first_name": "GAYLE",
"middle_name": "MAUREEN",
"name_prefix": "Miss",
"credential": "MA, LSC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "MN",
"license": "404390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.