Individual provider Active NPI

Micah Noyes

  • Professional Counselor
  • Covington, KY
National Provider Identifier
1295124527
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
168684 Issued in KY
Practice address
525 W 5TH St
Covington, KY 41011-1259
Phone
(859) 292-4125
NPI assigned
Jan 9, 2015
Last updated
Jul 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 141136 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X 168267 KY
Professional Counselor 101YP2500X 168684 KY Primary

Addresses

Primary practice location

525 W 5TH St
Covington, KY 41011-1259

Mailing address

200 Home Rd
Covington, KY 41011-1942
Phone (859) 292-4125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240530004006 KY Practitioner - Mental Health Counselor 4688077431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling and Diagnostic Center LLCGroup PAC ID 4981976222, 7 clinicians

Practice addresses (Care Compare)

7426 US Hwy 42
Suite 106
Florence, KY 41042-2056
Phone (859) 282-0119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
168267KYMDAddiction (Substance Use Disorder) Counselor
141136OHMDAddiction (Substance Use Disorder) Counselor
168684KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling and Diagnostic Center, LLC Professional CurrentSince Mar 13, 2024 Accepting new patients

Locations

7426 US Highway 42
Ste 106
Florence, KY 41042
Phone (859) 282-0118

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": "1420761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1295124527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOME RD",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410111942",
            "telephone_number": "859-292-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W 5TH ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410111259",
            "telephone_number": "859-292-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOYES",
        "first_name": "MICAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-09",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "141136",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "168267",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "168684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, KY

Sources for this page

Verify at the official NPI Registry.