Active NPI
Samuel Peter James Noble, LMHCA
- Mental Health Counselor
- Kirkland, WA
National Provider Identifier
1750195038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC61614668
- Practice address
- 4030 Lake Washington Blvd NE Ste 201
Kirkland, WA 98033-7870 - Phone
- (206) 414-8918
- NPI assigned
- Feb 5, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC61614668 | WA | Primary |
Addresses
Primary practice location
4030 Lake Washington Blvd NE Ste 201
Kirkland, WA 98033-7870
Mailing address
1134 17TH Ave Apt 202
Seattle, WA 98122-4618
Phone (310) 683-9881
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC61614668 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738713600000",
"number": "1750195038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1134 17TH AVE APT 202",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981224618",
"telephone_number": "310-683-9881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4030 LAKE WASHINGTON BLVD NE STE 201",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980337870",
"telephone_number": "206-414-8918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBLE",
"first_name": "SAMUEL",
"middle_name": "PETER JAMES",
"credential": "LMHCA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-05",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC61614668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.