Kevin George Noble, LAC, LMFT
Individual provider Active NPI Marriage & Family Therapist · Sioux Falls, SD
NPI 1174291272 · NPPES record last updated Oct 22, 2024
Key facts
- NPI
- 1174291272
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- LMFT11564 (SD)
- Practice address
- 2101 W 69TH St Unit 103
Sioux Falls, SD 57108-5622 - Phone
- (605) 740-6557
- NPI assigned
- Sep 2, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21011864 | SD | MD | Addiction (Substance Use Disorder) Counselor |
| LMFT11564 | SD | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kimberly J Keiser | Current |
Accepting new patients | |
| Kimberly J Keiser | Current |
Accepting new patients |
Locations
2101 W 69th St
Unit 103
Sioux Falls, SD 57108
Phone (605) 274-0095
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 21011864 | SD | |
| Marriage & Family Therapist | 106H00000X | LMFT11564 | SD | Yes |
Addresses
Primary practice location
2101 W 69TH St Unit 103
Sioux Falls, SD 57108-5622
Mailing address
2927 E Marson Dr Apt E
Sioux Falls, SD 57103-4730
Phone (605) 677-9402
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21011864 | Other | SD | LAC LICENSE |
| LMFT11564 | Other | SD | SD DEPARTMENT OF SOCIAL SERVICES BOARD OF EXAMINERS |
Other providers in Sioux Falls, SD
- Gregory Kent Nissen
- Stacia Marie Nissen
- Chimezie Nmezi
- NMT Specialties
- Julia Noah
- Latoya Sanoura Noble
- Rachel Ashley Noblitt
- Joan Lee Nold
- Collin Noldner
- Terri Noldner
All providers in Sioux Falls, SD · Marriage & Family Therapist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.