Individual provider Active NPI

Diane Donovan-Vaughn, MFT LADC

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1821004128
Registry record updated Jun 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT0371 Issued in NV
Practice address
8440 W Lake Mead Blvd Ste 212
Las Vegas, NV 89128-7648
Phone
(702) 256-6090
Fax
(731) 549-2504
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LADC 332 NV
Marriage & Family Therapist 106H00000X MFT0371 NV Primary

Addresses

Primary practice location

8440 W Lake Mead Blvd Ste 212
Las Vegas, NV 89128-7648

Mailing address

PO Box 729
Decaturville, TN 38329-0729
Phone (702) 256-6090

Other identifiers 1

IdentifierTypeStateIssuer
A934671OtherVALUE OPTIONS

Other names 1

  • B Diane Donovan-Vaughn Former name

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
LADC 332NVMDAddiction (Substance Use Disorder) Counselor
MFT0371NVMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749945600000",
    "number": "1821004128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "city": "DECATURVILLE",
            "state": "TN",
            "postal_code": "383290729",
            "telephone_number": "702-256-6090",
            "fax_number": "702-256-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 W LAKE MEAD BLVD STE 212",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287648",
            "telephone_number": "702-256-6090",
            "fax_number": "731-549-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN-VAUGHN",
        "first_name": "DIANE",
        "credential": "MFT LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-06-15",
        "certification_date": "2025-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "LADC 332",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MFT0371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "A934671",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "B",
            "last_name": "DONOVAN-VAUGHN",
            "middle_name": "DIANE",
            "credential": "MFT LADC PC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.