Organization · Type 2 NPI

Jennifer Vaughn Therapy Services LLC

Community/Behavioral Health Agency · Nisswa, MN

NPI number 1609290691 Active

Practice location

25282 Hazelwood Dr Ste 1
Nisswa, MN 56468-2976

Fax (218) 600-5500

Mailing address

4682 Wilderness Ct # 103
Brainerd, MN 56401-2834

Other practice locations

  • 107 Doctors Park, St. Cloud, MN 56303-1207 · (218) 820-7671
  • 4682 Wilderness Ct # 103, Brainerd, MN 56401-2834 · (218) 820-7671

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed
Clinical Social Worker 1041C0700XNone listed
Marriage & Family Therapist 106H00000XNone listed
Community/Behavioral Health Agency Primary 251S00000X2090 (MN)
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1609290691

Jennifer Vaughn Therapy Services LLC's National Provider Identifier is 1609290691, issued on Feb 11, 2014. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Nisswa, MN. The record was last updated on May 4, 2026.