Individual provider Active NPI

Kelly Noble, LMFT

  • Marriage & Family Therapist
  • Redway, CA
National Provider Identifier
1487112561
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
109543 Issued in CA
Practice address
101 West Coast Rd.
Redway, CA 95560-9556
Phone
(707) 923-7521
Fax
(707) 923-2543
NPI assigned
Mar 7, 2019
Last updated
Sep 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 109543 CA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251228000192 CA Practitioner - Marriage and Family Therapist 6002302106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Redwoods Rural Health Center IncGroup PAC ID 6709867583, 13 clinicians

Practice addresses (Care Compare)

PO Box
Suite 769
Redway, CA 95560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109543CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Redwoods Rural Health Center Inc. CurrentSince Nov 13, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kelly.noble.p1@direct.rrhc.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1487112561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 769",
            "city": "REDWAY",
            "state": "CA",
            "postal_code": "955600769",
            "telephone_number": "707-923-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WEST COAST RD.",
            "city": "REDWAY",
            "state": "CA",
            "postal_code": "955609556",
            "telephone_number": "707-923-7521",
            "fax_number": "707-923-2543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "829 Sonoma Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954044757",
            "country_code": "US",
            "telephone_number": "707-408-4392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "KELLY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-07",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "109543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redway, CA

Sources for this page

Verify at the official NPI Registry.