Individual provider Active NPI

Lora Jean Vaughan, M.A., L.C.P.C.

  • Professional Counselor
  • Owings Mills, MD
National Provider Identifier
1437420635
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC2976 Issued in MD
Practice address
66 Painters Mill Rd
Ste. 204
Owings Mills, MD 21117-3641
Phone
(443) 394-3838
Fax
(443) 394-0345
NPI assigned
Jan 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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 LC2976 MD Primary

Addresses

Primary practice location

66 Painters Mill Rd
Ste. 204
Owings Mills, MD 21117-3641

Mailing address

66 Painters Mill Rd
Ste. 204
Owings Mills, MD 21117-3641
Phone (443) 394-3838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 21, 2025 through Feb 21, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LC2976MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Foundations, LLC PastSince Sep 8, 2019 Accepting new patients
HFG Holdings, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1437420635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 PAINTERS MILL RD",
            "address_2": "STE. 204",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173641",
            "telephone_number": "443-394-3838",
            "fax_number": "443-394-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 PAINTERS MILL RD",
            "address_2": "STE. 204",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173641",
            "telephone_number": "443-394-3838",
            "fax_number": "443-394-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "LORA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "M.A., L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC2976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.