Individual provider Active NPI

Kari Marie Mika-Lude, PHD, LPC

  • Professional Counselor
  • Hurricane, WV
National Provider Identifier
1194028720
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2276 Issued in WV
Practice address
3847 Teays Valley Rd
Hurricane, WV 25526-9820
Phone
(304) 760-9945
Fax
(304) 397-0896
NPI assigned
Dec 21, 2010
Reactivated
Nov 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16-323 WV
Professional Counselor 101YP2500X 178.008859 IL
Professional Counselor 101YP2500X 2276 WV Primary

Addresses

Primary practice location

3847 Teays Valley Rd
Hurricane, WV 25526-9820

Mailing address

PO Box 172
Culloden, WV 25510-0172
Phone (304) 760-9945

Other practice location 1

200 Kanawha Ter
Saint Albans, WV 25177-2867
Phone (304) 760-9945

Other names 1

  • Miss Kari Marie Mika Former name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
16-323WVMDAddiction (Substance Use Disorder) Counselor
178.008859ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire to Inspire Behavioral Health and Addiction Services, LLC Addiction (Substance Use Disorder) CurrentSince Sep 5, 2023 Accepting new patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients

Locations

3847 Teays Valley Rd
Ste B
Hurricane, WV 25526
Phone (304) 760-9945

Interoperability endpoints

  • Direct secure messaging: karimikalude@tdh.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1194028720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 172",
            "city": "CULLODEN",
            "state": "WV",
            "postal_code": "255100172",
            "telephone_number": "304-760-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3847 TEAYS VALLEY RD",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269820",
            "telephone_number": "304-760-9945",
            "fax_number": "304-397-0896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Kanawha Ter",
            "address_purpose": "LOCATION",
            "city": "Saint Albans",
            "state": "WV",
            "postal_code": "251772867",
            "country_code": "US",
            "telephone_number": "304-760-9945",
            "fax_number": "304-397-0896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKA-LUDE",
        "first_name": "KARI",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-21",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "deactivation_date": "2013-07-15",
        "reactivation_date": "2013-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WV",
            "license": "16-323",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.008859",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "2276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARI",
            "last_name": "MIKA",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hurricane, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.