Active NPI
Authentic Talk
- Clinical Social Worker
- Grandview, MO
National Provider Identifier
1497216071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- AUTHENTIC TALK
- Practice address
- 721 Main St
Grandview, MO 64030-2328 - Phone
- (816) 368-1288
- NPI assigned
- Mar 27, 2019
- Last updated
- Jan 25, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa R Vaughns, LCSW
- Title
- Therapist
- Phone
- (816) 368-1288
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
721 Main St
Grandview, MO 64030-2328
Mailing address
14806 Pine View Dr
Grandview, MO 64030-4573
Phone (816) 588-5090
Other practice location 1
14806 Pine View Dr
Grandview, MO 64030-4573
Phone (816) 368-1288
National Provider Directory
National Provider DirectoryLocations
721 Main St
Grandview, MO 64030
Phone (816) 368-1288
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674604800000",
"number": "1497216071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14806 PINE VIEW DR",
"city": "GRANDVIEW",
"state": "MO",
"postal_code": "640304573",
"telephone_number": "816-588-5090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 MAIN ST",
"city": "GRANDVIEW",
"state": "MO",
"postal_code": "640302328",
"telephone_number": "816-368-1288"
}
],
"practiceLocations": [
{
"address_1": "14806 Pine View Dr",
"address_purpose": "LOCATION",
"city": "Grandview",
"state": "MO",
"postal_code": "640304573",
"country_code": "US",
"telephone_number": "816-368-1288",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "AUTHENTIC TALK",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-27",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A",
"authorized_official_last_name": "VAUGHNS",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "816-368-1288",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grandview, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.