Active NPI
Latoya Burns Vaughn, MS, CADC
- Addiction (Substance Use Disorder) Counselor
- Lexington, KY
National Provider Identifier
1861764284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 168726
- Practice address
- 1351 Newtown Pike
Building 5
Lexington, KY 40511-1275 - Phone
- (859) 253-1686
- NPI assigned
- Jan 31, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1193 | KY | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 168726 | KY | Primary |
Addresses
Primary practice location
1351 Newtown Pike
Building 5
Lexington, KY 40511-1275
Mailing address
3460 Woodspring Dr
Lexington, KY 40515-5857
Phone (859) 948-8401
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80240 | Medicaid | KY | |
| 1790731081 | Medicaid | KY |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 168726 | KY | MD | Addiction (Substance Use Disorder) Counselor |
| 1193 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Vista of the Bluegrass Inc | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Frankfort, KY
- NPI 1790731081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468886400000",
"number": "1861764284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3460 WOODSPRING DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405155857",
"telephone_number": "859-948-8401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1351 NEWTOWN PIKE",
"address_2": "BUILDING 5",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405111275",
"telephone_number": "859-253-1686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "LATOYA",
"middle_name": "BURNS",
"name_prefix": "Mrs.",
"credential": "MS, CADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-31",
"last_updated": "2016-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KY",
"license": "1193",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KY",
"license": "168726",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80240",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1790731081",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.