Active NPI
Myrna B. Vaughan, LPC
- Mental Health Counselor
- Lees Summit, MO
National Provider Identifier
1932146404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 002366
- Practice address
- 600 SW Jefferson St
Suite 206
Lees Summit, MO 64063-3988 - Phone
- (816) 554-7705
- Fax
- (816) 554-7706
- NPI assigned
- Jun 1, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 002366 | MO | Primary |
Addresses
Primary practice location
600 SW Jefferson St
Suite 206
Lees Summit, MO 64063-3988
Mailing address
600 SW Jefferson St
Suite 206
Lees Summit, MO 64063-3988
Phone (816) 554-7705
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MANAGED HEALTH CARE | Other | MO | PROVIDER |
| ST. LUKE'S HEALTHCAR | Other | MO | PROVIDER/EAP |
| UNITED BEHAVIORAL HE | Other | MO | PROVIDER |
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 |
|---|---|---|---|
| 002366 | MO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas B Vaughan PHD PC | 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.
-
- Clinical Psychologist
- Lees Summit, MO
- NPI 1881894145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215043200000",
"number": "1932146404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 SW JEFFERSON ST",
"address_2": "SUITE 206",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640633988",
"telephone_number": "816-554-7705",
"fax_number": "816-554-7706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 SW JEFFERSON ST",
"address_2": "SUITE 206",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640633988",
"telephone_number": "816-554-7705",
"fax_number": "816-554-7706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHAN",
"first_name": "MYRNA",
"middle_name": "B.",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2008-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MO",
"license": "002366",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER",
"identifier": "MANAGED HEALTH CARE",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER/EAP",
"identifier": "ST. LUKE'S HEALTHCAR",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER",
"identifier": "UNITED BEHAVIORAL HE",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.