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KENNETH A VAUGHN JR. RC CADC I CRM QMHA
NPI 1164582896
Counselor - Addiction (Substance Use Disorder) in Salem, OR

Active since December 11, 2006
3325 HAROLD DR NE, SALEM, OR 97305(503) 363-2021(503) 363-4820 Get Directions Write a Review

NPPES record last updated: November 16, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth A Vaughn Jr. Rc Cadc I Crm Qmha NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH A VAUGHN JR. RC CADC I CRM QMHA (NPI 1164582896) is an individual addiction (substance use disorder) provider in Salem, Oregon, licensed in Oregon (08-06-73) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1164582896
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKENNETH A VAUGHN JR.Credential: RC CADC I CRM QMHA
Location Address3325 HAROLD DR NESalem, OR 97305-1339
Mailing Address3325 Harold Dr NeSalem, OR 97305-1339 · (503) 363-2021 · Fax (503) 363-4820
Phone(503) 363-2021
Fax(503) 363-4820
Sole ProprietorNo
Enumeration DateDecember 11, 2006
Last NPPES UpdateNovember 16, 2012
✔ NPI 1164582896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 08-06-73
Also ListedCounselorTaxonomy 101Y00000X · License RC00052879 (WA)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License QMHA (OR)
3325 HAROLD DR NE, Salem, OR 97305
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. TIMOTHY G MURPHY MS
Counselor (Mental Health)
3325 HAROLD DR NE
SALEM, OR 97305
Marion County (503) 569-3056
MARCELINA RAYA BUENO CRM
Peer Specialist
3325 HAROLD DR NE
SALEM, OR 97305
Marion County (503) 363-2021
DIANE MARIE MCLENDON QMHP
Marriage & Family Therapist
3325 HAROLD DR NE
SALEM, OR 97305
Marion County (503) 363-2021
SARAH ELIZABETH HADFIELD PA-C
Physician Assistant (Medical)
3325 HAROLD DR NE
SALEM, OR 97305
Marion County (503) 363-2021
DESIREE VELASCO AA, CADC1
Counselor (Addiction (Substance Use Disorder))
3325 HAROLD DR NE
SALEM, OR 97305
Marion County (503) 399-0670
STEVEN SAM BASS PSS, CRM
Peer Specialist
3325 HAROLD DR NE
SALEM, OR 97305
Marion County (503) 363-2021
MS. FRANCES NADINE MCKENNA CADCI
Case Manager/Care Coordinator
3325 HAROLD DR NE
SALEM, OR 97305
Marion County (503) 363-2021
KASIE ANNOTTI
Counselor (Addiction (Substance Use Disorder))
3325 HAROLD DR NE
SALEM, OR 97305
Marion County (503) 363-2021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Vaughn's NPI number?

The NPI number for Kenneth Vaughn is 1164582896. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Kenneth Vaughn located?

Kenneth Vaughn practices at 3325 Harold Dr NE, Salem, OR 97305. The listed phone number is (503) 363-2021.

What is Kenneth Vaughn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kenneth Vaughn was last updated on November 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.