Individual provider Active NPI

Mia King, LPC

  • Mental Health Counselor
  • Mandeville, LA
National Provider Identifier
1336653302
Registry record updated Mar 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7002 Issued in LA
Practice address
200 Mariners Plaza Dr FL 2
Mandeville, LA 70448-4795
Phone
(504) 267-7324
Fax
(504) 367-5936
NPI assigned
Nov 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7002 LA Primary

Addresses

Primary practice location

200 Mariners Plaza Dr FL 2
Mandeville, LA 70448-4795

Mailing address

200 Mariners Plaza Dr FL 2
Mandeville, LA 70448-4795
Phone (504) 267-7324

Other practice location 1

4300 S I 10 Service Rd W Ste 102
Metairie, LA 70001-7400
Phone (504) 267-7324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 10, 2025 through Dec 10, 2027

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

115 Golfers Dr
Covington, LA 70433-4932

4300 S I 10 Service Rd W
Suite 102
Metairie, LA 70001-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7002LAMDMental Health Counselor
9354LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Caravelle Care Inc. PastSince Jul 16, 2016 Accepting new patients
Flourish Counseling LLC Mental Health PastSince Mar 24, 2025 Accepting new patients

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": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774656000000",
    "number": "1336653302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MARINERS PLAZA DR FL 2",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704484795",
            "telephone_number": "504-267-7324",
            "fax_number": "504-267-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MARINERS PLAZA DR FL 2",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704484795",
            "telephone_number": "504-267-7324",
            "fax_number": "504-367-5936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 S I 10 Service Rd W Ste 102",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700017400",
            "country_code": "US",
            "telephone_number": "504-267-7324",
            "fax_number": "504-267-5936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "MIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-28",
        "last_updated": "2026-03-28",
        "certification_date": "2026-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "7002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.