Jennifer Ann Vaughn, MS, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH14741 Issued in FL

Practice address

5642 Jones St
Milton, FL 32570-2304

Phone

(850) 626-7779

Fax

(850) 626-7171

NPI assigned

Aug 22, 2012

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

• Jenna Stewart Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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.

• Suds Counseling, LLC Dba the Resiliency Well

  • Mental Health Counselor
  • Milton, FL
  • NPI 1669171955
  NPD Authorized official
• Resiliency Well LLC

  • Mental Health Counselor
  • Pace, FL
  • NPI 1700596863
  NPD
• Santa Rosa Counseling Center LLC

  • Mental Health Counselor
  • Milton, FL
  • NPI 1962697441
  NPD

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

{
    "created_epoch": "1345593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1447508452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5642 JONES ST",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325702304",
            "telephone_number": "850-626-7779",
            "fax_number": "850-626-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5642 JONES ST",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325702304",
            "telephone_number": "850-626-7779",
            "fax_number": "850-626-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-22",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110551400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "STEWART",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Valisemd Inc
• Steven Valkanas, D.O.
• Holly Vandenberg, BCBA
• John Arthur Vanostenbridge, M.D.
• Rebecca Vaughan
• Ryan Vaughn, FNP
• Arthur Vezikov, APRN
• Tayisha Vilceus, M.D
• Maria Elena Villarreal, LDO
• Amanda Vincent, APRN, FNP-BC

• Mental Health Counselor in Milton, FL
• Providers in Milton, 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 Aug 12, 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.