Kelly Noble, LMFT
Individual provider Active NPI Marriage & Family Therapist · Redway, CA
NPI 1487112561 · NPPES record last updated Sep 3, 2026
Key facts
- NPI
- 1487112561
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 109543 (CA)
- Practice address
- 101 West Coast Rd.
Redway, CA 95560-9556 - Phone
- (707) 923-7521
- Fax
- (707) 923-2543
- NPI assigned
- Mar 7, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Redwoods Rural Health Center Inc
Practice addresses (Care Compare)
PO Box
Suite 769
Redway, CA 95560
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251228000192 | CA | Practitioner - Marriage and Family Therapist | 6002302106 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109543 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redwoods Rural Health Center Inc. | Current |
Accepting new patients |
Interoperability endpoints
- kelly.noble.p1@direct.rrhc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 109543 | CA | Yes |
Addresses
Primary practice location
101 West Coast Rd.
Redway, CA 95560-9556
Mailing address
PO Box 769
Redway, CA 95560-0769
Phone (707) 923-2783
Other practice location 1
829 Sonoma Ave
Santa Rosa, CA 95404-4757
Phone (707) 408-4392
Other providers in Redway, CA
- Megan McCormack
- Pearl McGinley
- Renettra Angele Morris
- Tiffany Amber Nickens
- Anne Njoku
- Steve A Norton
- Blake Jerome Olson
- James G Paige
- Karishnee Rakesh Patel
- Lorraine Prisbrey
All providers in Redway, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.