Active NPI
Christy Vaughn Council, PHD
- Clinical Psychologist
- Raleigh, NC
National Provider Identifier
1841323607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2994
- Practice address
- 3725 National Dr Ste 114
Raleigh, NC 27612-4879 - Phone
- (919) 784-0508
- Fax
- (919) 212-7024
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2994 | NC | Primary |
Addresses
Primary practice location
3725 National Dr Ste 114
Raleigh, NC 27612-4879
Mailing address
7233 Mine Shaft Rd
Raleigh, NC 27615-6019
Phone (919) 676-5718
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6000739 | Medicaid | NC |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2994 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231977600000",
"number": "1841323607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7233 MINE SHAFT RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276156019",
"telephone_number": "919-676-5718",
"fax_number": "919-212-7024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3725 NATIONAL DR STE 114",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276124879",
"telephone_number": "919-784-0508",
"fax_number": "919-212-7024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUNCIL",
"first_name": "CHRISTY",
"middle_name": "VAUGHN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2009-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "2994",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6000739",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.