Individual provider Active NPI

Jamie Lynn Noble, LMFT

  • Marriage & Family Therapist
  • Ann Arbor, MI
National Provider Identifier
1689339400
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4101007416 Issued in MI
Practice address
3830 Packard St Ste 280
Ann Arbor, MI 48108-2276
Phone
(734) 224-2454
NPI assigned
Nov 5, 2021
Last updated
Oct 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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 4101007416 MI Primary

Addresses

Primary practice location

3830 Packard St Ste 280
Ann Arbor, MI 48108-2276

Mailing address

3216 Eastridge Dr
Dexter, MI 48130-9392
Phone (415) 810-9413

Other names 1

  • Jamie Lynn Dippman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250227000265 MI Practitioner - Marriage and Family Therapist 5890215339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hive Wellness Collective LLCGroup PAC ID 3476935131, 2 clinicians

Practice addresses (Care Compare)

2222 W Grand River Ave
Suite a
Okemos, MI 48864-1604
Phone (734) 732-2518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hive Wellness Collective LLC Marriage & Family Therapist CurrentSince Feb 1, 2025 Accepting new patients

Locations

405 Little Lake Dr
Ste A
Ann Arbor, MI 48103
Phone (734) 395-2285

7050 Dexter Ann Arbor Rd
Ste 300
Dexter, MI 48130
Phone (734) 768-4404

2222 W Grand River Ave
Ste A
Okemos, MI 48864
Phone (734) 602-4635

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": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1689339400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 EASTRIDGE DR",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481309392",
            "telephone_number": "415-810-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 PACKARD ST STE 280",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082276",
            "telephone_number": "734-224-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-05",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101007416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "DIPPMAN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.