MRS. RITA M. VAUGHN MSLPCAADC NPI 1104047000

NPI Information

  • NPI: 1104047000
  • Provider Name: MRS. RITA M. VAUGHN, MS,LPC,AADC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 802 OAK ST
    KENOVA, WV
    ZIP 25530
  • Phone: (606) 547-2262

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NPI Details

MRS. Rita M. Vaughn, MS,LPC,AADC is a professional counselor in Kenova, WV with 19 years of experience. MRS. Rita M. Vaughn, MS,LPC,AADC NPI is 1104047000. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

802 OAK ST
KENOVA, WV
ZIP 25530
Phone: (606) 547-2262

The NPI 1104047000 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 8/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)13-306WEST VIRGINIANo
2101YP2500XCounselorProfessional2182WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11043706484MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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