Active NPI
Mikia Antoneice Noble, LPC
- Professional Counselor
- North Chesterfield, VA
National Provider Identifier
1144068149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701013404
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0701013404 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Footprints Cares LLC | Professional | Current | Accepting new patients |
| Advancing Communities Everywhere,LLC | Professional | Past | 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.
-
- Professional Counselor
- Richmond, VA
- NPI 1306503594
-
- Case Management Agency
- North Chesterfield, VA
- NPI 1942825286
Professional
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.