Macayla J Vaughan, LPCA
Individual provider Active NPI Mental Health Counselor · Jamestown, KY
NPI 1962910034 · NPPES record last updated Jan 11, 2018
Key facts
- NPI
- 1962910034
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 175312 (KY)
- Practice address
- 119 Hereford Curve Road
Jamestown, KY 42629 - Phone
- (270) 343-2551
- NPI assigned
- Jan 11, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 175312 | KY | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 175312 | KY | Yes |
Addresses
Primary practice location
119 Hereford Curve Road
Jamestown, KY 42629
Mailing address
130 Southern School Rd
Somerset, KY 42501-3223
Phone (606) 679-4782
Other providers in Jamestown, KY
- Russell County Board of Education
- Amber Smith
- Solace Ky
- Jessica Stotts
- Unbound Treatment, Inc.
- Jeffrey Louis Warner
- John Luke Warner
- Ashley D Watts
- Bradley Whitehead
- Lucas Todd Whittle
All providers in Jamestown, KY · Mental Health Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.