Active NPI
Renee Noll
- Behavior Technician
- Worthington, OH
National Provider Identifier
1568346591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 445 E Dublin Granville Rd
Worthington, OH 43085-3192 - Phone
- (614) 844-3800
- NPI assigned
- Aug 4, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | OH | Primary |
Addresses
Primary practice location
445 E Dublin Granville Rd
Worthington, OH 43085-3192
Mailing address
445 E Dublin Granville Rd
Worthington, OH 43085-3192
Phone (614) 844-3800
Other practice location 1
22 N 1st St
Newark, OH 43055-5608
Phone (740) 334-4056
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| I Am Boundless, Inc. | Past | Accepting new patients |
Interoperability endpoints
- renee.noll.p1@direct.iamboundless.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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1568346591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 E DUBLIN GRANVILLE RD",
"city": "WORTHINGTON",
"state": "OH",
"postal_code": "430853192",
"telephone_number": "614-844-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 E DUBLIN GRANVILLE RD",
"city": "WORTHINGTON",
"state": "OH",
"postal_code": "430853192",
"telephone_number": "614-844-3800"
}
],
"practiceLocations": [
{
"address_1": "22 N 1st St",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "OH",
"postal_code": "430555608",
"country_code": "US",
"telephone_number": "740-334-4056",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOLL",
"first_name": "RENEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-04",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worthington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.