Individual provider Active NPI

Joey Leigh Gude, LMHC(T)

  • Counselor
  • Spirit Lake, IA
National Provider Identifier
1295182368
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
080F51 Issued in IA
Practice address
1451 210TH Ave
Spirit Lake, IA 51360-7566
Phone
(712) 320-0202
NPI assigned
May 19, 2016
Last updated
May 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 080F51 IA Primary

Addresses

Primary practice location

1451 210TH Ave
Spirit Lake, IA 51360-7566

Mailing address

1451 210TH Ave
Spirit Lake, IA 51360-7566
Phone (712) 320-0202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241017001193 IA Practitioner - Mental Health Counselor 2668904491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

605 Lake St
Suite 5
Spirit Lake, IA 51360-1645

605 Lake St
Suite 5
Spirit Lake, IA 51360-1674
Phone (712) 339-2422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
080F51IAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Luminosity Inc CurrentSince Aug 8, 2024 Accepting new patients

Locations

605 Lake St
Ste 5
Spirit Lake, IA 51360
Phone (712) 320-0202

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1295182368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 210TH AVE",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513607566",
            "telephone_number": "712-320-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 210TH AVE",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513607566",
            "telephone_number": "712-320-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDE",
        "first_name": "JOEY",
        "middle_name": "LEIGH",
        "credential": "LMHC(T)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IA",
            "license": "080F51",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spirit Lake, IA

Sources for this page

Verify at the official NPI Registry.