Individual provider Active NPI

Mikia Antoneice Noble, LPC

  • Professional Counselor
  • North Chesterfield, VA
National Provider Identifier
1144068149
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701013404 Issued in VA
Practice address
11771 Rexmoor Dr
North Chesterfield, VA 23236-3249
Phone
(434) 480-2020
NPI assigned
Jul 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Professional Counselor 101YP2500X 0701013404 VA Primary

Addresses

Primary practice location

11771 Rexmoor Dr
North Chesterfield, VA 23236-3249

Mailing address

11771 Rexmoor Dr
North Chesterfield, VA 23236-3249
Phone (434) 480-2020

Other practice location 1

409 E Main St Ste 201
Richmond, VA 23219-3845
Phone (804) 716-8739

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

State licenses

LicenseStateTypeSpecialty
0701013404VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Footprints Cares LLC Professional Current Accepting new patients
Advancing Communities Everywhere,LLC Professional PastSince Feb 19, 2023 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": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1144068149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11771 REXMOOR DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363249",
            "telephone_number": "434-480-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11771 REXMOOR DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363249",
            "telephone_number": "434-480-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 E Main St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232193845",
            "country_code": "US",
            "telephone_number": "804-716-8739",
            "fax_number": "804-597-3665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "MIKIA",
        "middle_name": "ANTONEICE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701013404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.