Active NPI
Theresa L Vaughn, LCPC
- Mental Health Counselor
- Butte, MT
National Provider Identifier
1972309714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- BBH-LCPC-LIC-81705
- Practice address
- 122030 Nissler Rd
Butte, MT 59701-9604 - Phone
- (406) 260-1595
- NPI assigned
- Feb 21, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 80984 | MT | |
| Mental Health Counselor | 101YM0800X | BBH-PCLC-LIC-64056 | MT | |
| Mental Health Counselor | 101YM0800X | BBH-LCPC-LIC-81705 | MT | Primary |
Addresses
Primary practice location
122030 Nissler Rd
Butte, MT 59701-9604
Mailing address
122030 Nissler Rd
Butte, MT 59701-9604
Phone (406) 260-1595
Other names 1
- Theresa L Vaughn
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 |
|---|---|---|---|
| BBH-LCPC-LIC-81705 | MT | MD | Mental Health Counselor |
| BBH-PCLC-LIC-64056 | MT | MD | Mental Health Counselor |
| 80984 | MT | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1972309714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122030 NISSLER RD",
"city": "BUTTE",
"state": "MT",
"postal_code": "597019604",
"telephone_number": "406-260-1595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122030 NISSLER RD",
"city": "BUTTE",
"state": "MT",
"postal_code": "597019604",
"telephone_number": "406-260-1595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "THERESA",
"middle_name": "L",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-21",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "MT",
"license": "80984",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MT",
"license": "BBH-PCLC-LIC-64056",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MT",
"license": "BBH-LCPC-LIC-81705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THERESA",
"last_name": "VAUGHN",
"middle_name": "L",
"credential": "LCPC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Butte, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.