Active NPI
Michael Vaughn
- Mental Health Counselor
- Kansas City, MO
National Provider Identifier
1679041388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2015034334
- Practice address
- 1201 NW Briarcliff Pkwy Ste 200
Kansas City, MO 64116-1772 - Phone
- (816) 590-0700
- NPI assigned
- Nov 12, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2015034334 | MO | Primary |
Addresses
Primary practice location
1201 NW Briarcliff Pkwy Ste 200
Kansas City, MO 64116-1772
Mailing address
15320 Grand Summit Ext Apt 204
Grandview, MO 64030-4828
Phone (540) 718-9534
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2015034334 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541980800000",
"number": "1679041388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15320 GRAND SUMMIT EXT APT 204",
"city": "GRANDVIEW",
"state": "MO",
"postal_code": "640304828",
"telephone_number": "540-718-9534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 NW BRIARCLIFF PKWY STE 200",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641161772",
"telephone_number": "816-590-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-12",
"last_updated": "2018-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "2015034334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.