Individual provider Active NPI

Cherylynn Nmi Noll, BS, CSAC, CSIT

  • Addiction (Substance Use Disorder) Counselor
  • West Allis, WI
National Provider Identifier
1316132525
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
16638-132 Issued in WI
Practice address
2814 S 108TH St
West Allis, WI 53227-3224
Phone
(414) 885-3525
Fax
(262) 643-4617
NPI assigned
Sep 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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 15378-131 WI
Addiction (Substance Use Disorder) Counselor 101YA0400X 17039-133 WI
Addiction (Substance Use Disorder) Counselor 101YA0400X 16638-132 WI Primary

Addresses

Primary practice location

2814 S 108TH St
West Allis, WI 53227-3224

Mailing address

W193N16123 Stonehedge Dr
Jackson, WI 53037-9525
Phone (262) 305-0104

Other names 1

  • Cheri Noll Professional name

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
15378-131WIMDAddiction (Substance Use Disorder) Counselor
16638-132WIMDAddiction (Substance Use Disorder) Counselor
17039-133WIMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1316132525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W193N16123 STONEHEDGE DR",
            "city": "JACKSON",
            "state": "WI",
            "postal_code": "530379525",
            "telephone_number": "262-305-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 S 108TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532273224",
            "telephone_number": "414-885-3525",
            "fax_number": "262-643-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLL",
        "first_name": "CHERYLYNN",
        "middle_name": "NMI",
        "credential": "BS, CSAC, CSIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15378-131",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "17039-133",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16638-132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERI",
            "last_name": "NOLL",
            "credential": "BS, CSAC, CSIT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.