Active NPI
Brent Nobles, PRS
- Peer Specialist
- Cleveland, OH
National Provider Identifier
1316409360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 006748
- Practice address
- 4705 State Rd
Cleveland, OH 44109-5244 - Phone
- (440) 468-6550
- NPI assigned
- Apr 1, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | CDCA.169978 | OH | |
| Peer Specialist | 175T00000X | 006748 | OH | Primary |
Addresses
Primary practice location
4705 State Rd
Cleveland, OH 44109-5244
Mailing address
1356 W 85TH St Apt 1
Cleveland, OH 44102-1878
Phone (567) 242-3352
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 |
|---|---|---|---|
| 006748 | OH | MD | Peer Specialist |
| CDCA.169978 | OH | MD | Community/Behavioral Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empower DW Corp | Community/Behavioral Health | Current | Accepting new patients |
| Choices Behavioral Health Care | Community/Behavioral Health | Past | Accepting new patients |
Locations
4705 State Rd
Cleveland, OH 44109
Phone (440) 468-6550
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.
-
- Community/Behavioral Health Agency
- Cleveland, OH
- NPI 1396429122
-
- Community/Behavioral Health Agency
- Toledo, OH
- NPI 1497053664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1316409360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1356 W 85TH ST APT 1",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441021878",
"telephone_number": "567-242-3352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4705 STATE RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441095244",
"telephone_number": "440-468-6550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBLES",
"first_name": "BRENT",
"credential": "PRS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-01",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OH",
"license": "CDCA.169978",
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "006748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.