Noble Journey LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

NOBLE JOURNEY LLC

Practice address

6300 76TH St Ste 200
Kenosha, WI 53142-4018

Phone

(262) 960-1981

NPI assigned

Nov 12, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Nyles Antony Jackson, DSW, LCSWNPI 1053637629

Title

Psychotherapist

Phone

(262) 960-1981

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nyles Antony Jackson, MSW, APSW, SAC-IT

  • Social Worker
  • Kenosha, WI
  • NPI 1053637629
  NPD Authorized official

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1477413672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E ENTERPRISE AVE STE 333",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137889",
            "telephone_number": "262-960-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 76TH ST STE 200",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531424018",
            "telephone_number": "262-960-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE JOURNEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "NYLES",
        "authorized_official_middle_name": "ANTONY",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "262-960-1981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karin L Niemuth, LCSW, SAC
• Jamie-Lee Nietupski, LPC-IT
• Nicole Nitti, RN
• Rachael Nitz, LPC
• NJM Management Services, Inc.
• Gerald Joseph Nora, M.D.
• Nova Dental LLC
• Jerome Novak, PT
• Ned R. Novsam, M.D.
• Lacy Nowicki, OTR/L

• Clinical Social Worker in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.

Verify at the official NPI Registry.