Active NPI
Mona Delores Noble, LAPC
- Professional Counselor
- Decatur, GA
National Provider Identifier
1376892877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APC002649
- Practice address
- 4151 Memorial Dr
Suite 209C
Decatur, GA 30032-1504 - Phone
- (404) 508-0078
- NPI assigned
- Aug 30, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APC002649 | GA | Primary |
Addresses
Primary practice location
4151 Memorial Dr
Suite 209C
Decatur, GA 30032-1504
Mailing address
7839 Providence Point Way
Lithonia, GA 30058-5171
Phone (404) 518-8299
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 |
|---|---|---|---|
| APC002649 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Assertive Community Recovery, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Decatur, GA
- NPI 1265607683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346284800000",
"number": "1376892877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7839 PROVIDENCE POINT WAY",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300585171",
"telephone_number": "404-518-8299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4151 MEMORIAL DR",
"address_2": "SUITE 209C",
"city": "DECATUR",
"state": "GA",
"postal_code": "300321504",
"telephone_number": "404-508-0078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBLE",
"first_name": "MONA",
"middle_name": "DELORES",
"credential": "LAPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-30",
"last_updated": "2012-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "APC002649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.