Active NPIIndividual provider

Adrienne P De Vaughn, LSW, LMHC

Counselor, Mental Health in Jamaica Plain, Massachusetts

NPI Number1588206668
Practice location
144 Mcbride St., The English High School, Jamaica Plain, MA 02130-4013
Fax
—
Last updated
August 5, 2025

Adrienne P De Vaughn is a Counselor, Mental Health based in Jamaica Plain, MA. Adrienne P De Vaughn practices in Jamaica Plain, MA and has the professional credentials of LSW, LMHC. The NPI Number for Adrienne P De Vaughn is 1588206668 and holds a License No. 411529 (MA). The current practice location address for Adrienne P De Vaughn is 144 Mcbride St., The English High School, Jamaica Plain, MA 02130-4013 and can be reached out via phone at 617-637-0704.

Provider Profile Details

NPI Number
1588206668
Provider Name
Adrienne P De Vaughn
Credential
LSW, LMHC
Provider Entity Type
Individual
Gender
Female
Address
144 Mcbride St., The English High School, Jamaica Plain, MA 02130-4013
Phone Number
617-637-0704
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
October 10, 2019
Last Update Date
August 5, 2025
Certification Date
July 31, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
144 Mcbride St.
The English High School
Jamaica Plain, MA 02130-4013
Zip
02130-4013
Phone Number
617-637-0704
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
144 Mcbride St.
Student Development
Boston, MA 02130-4013
City
Boston
State
MA
Zip
02130-4013

License Information

License Number (1)
411529
License State (1)
MA
Taxonomy (1)
Counselor, School · 101YS0200X
License Number (2)
313335
License State (2)
MA
Taxonomy (2)
Social Worker · 104100000X
License Number (3)
7136
License State (3)
MA
Taxonomy (3)
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Adrienne P De Vaughn, LSW, LMHC?

The NPI number of Adrienne P De Vaughn, LSW, LMHC is 1588206668. It was assigned on October 10, 2019 and is currently active in the NPPES registry.

What is the specialty of Adrienne P De Vaughn, LSW, LMHC?

Adrienne P De Vaughn, LSW, LMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 411529.

Where does Adrienne P De Vaughn, LSW, LMHC practice?

The practice location is 144 Mcbride St., The English High School, Jamaica Plain, MA 02130-4013. The office can be reached at 617-637-0704 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588206668 directly on the NPPES registry website.

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