Individual provider Active NPI

Amy T Vaughan, LPC

  • Professional Counselor
  • Galax, VA
National Provider Identifier
1336800507
Registry record updated Jun 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701011092 Issued in VA
Practice address
7537 Carrollton Pike Unit 2
Galax, VA 24333-4269
Phone
(434) 237-9450
Fax
(434) 237-9454
NPI assigned
Jan 10, 2022
Last updated
Jun 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701011092 VA Primary

Addresses

Primary practice location

7537 Carrollton Pike Unit 2
Galax, VA 24333-4269

Mailing address

108 Duncraig Dr
Lynchburg, VA 24502-3335
Phone (434) 237-9450

Other practice location 1

7599 C Carrollton Pike
Galax, VA 24333
Phone (434) 237-9450

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
0701011092VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Strategic Therapy Associates, Inc. CurrentSince Jun 4, 2023 Accepting new patients
Restoring Pathways, LLC Professional Current Accepting new patients
Strategic Therapy Associates, Inc. Professional Past Accepting new patients

Locations

7537 Carrollton Pike
#2
Galax, VA 24333

108 Duncraig Dr
Lynchburg, VA 24502
Phone (434) 664-1045

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685750400000",
    "number": "1336800507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 DUNCRAIG DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245023335",
            "telephone_number": "434-237-9450",
            "fax_number": "434-237-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7537 CARROLLTON PIKE UNIT 2",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243334269",
            "telephone_number": "434-237-9450",
            "fax_number": "434-237-9454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7599 C Carrollton Pike",
            "address_purpose": "LOCATION",
            "city": "Galax",
            "state": "VA",
            "postal_code": "24333",
            "country_code": "US",
            "telephone_number": "434-237-9450",
            "fax_number": "434-237-9454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "AMY",
        "middle_name": "T",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2023-06-03",
        "certification_date": "2023-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2023; 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.