Marlie Vaughn, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH22022 Issued in FL

Practice address

1175 Lucerne Dr
Mount Dora, FL 32757-3639

Phone

(352) 434-2399

NPI assigned

Apr 4, 2023

Last updated

Jan 15, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1366147761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MERRIMON AVE # 1182",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012322",
            "telephone_number": "352-434-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 LUCERNE DR",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327573639",
            "telephone_number": "352-434-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "MARLIE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Unique Diagnostics LLC
• Vanessa Urbina, M.D.
• US Highway 441 Opco LLC (Recovery Centers of America at Mount Dora)
• Value Based Medical Solutions LLC
• Maria Vasquez, LPN
• Yanet Vazquez
• Francis Marie Vega Vargas
• Ashley Grace Verkaik, APRN
• Natasha Vernon, FNP
• Lesley Victor

• Mental Health Counselor in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.