Individual provider Active NPI

Adrienne P De Vaughn, LSW, LMHC

  • Mental Health Counselor
  • Jamaica Plain, MA
National Provider Identifier
1588206668
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7136 Issued in MA
Practice address
144 McBride St.
The English High School
Jamaica Plain, MA 02130-4013
Phone
(617) 637-0704
NPI assigned
Oct 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 411529 MA
Social Worker 104100000X 313335 MA
Mental Health Counselor 101YM0800X 7136 MA Primary

Addresses

Primary practice location

144 McBride St.
The English High School
Jamaica Plain, MA 02130-4013

Mailing address

144 McBride St.
Student Development
Boston, MA 02130-4013

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
7136MAMDMental Health Counselor
411529MAMDSchool Counselor
313335MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerment Counseling and Psychotherapy Center Past Accepting new patients

Organizations & group practices 1

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": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1588206668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 MCBRIDE ST.",
            "address_2": "STUDENT DEVELOPMENT",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021304013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 MCBRIDE ST.",
            "address_2": "THE ENGLISH HIGH SCHOOL",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304013",
            "telephone_number": "617-637-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE VAUGHN",
        "first_name": "ADRIENNE",
        "middle_name": "P",
        "credential": "LSW, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2025-08-05",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MA",
            "license": "411529",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "313335",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "7136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Plain, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.