Active NPI
Irene Carol Soble, MSRN,CARN-AP
- Clinical Nurse Specialist
- Brighton, MI
National Provider Identifier
1841330222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- 4704133917
- Practice address
- 12851 Grand River Rd
Brighton, MI 48116-8506 - Phone
- (810) 227-1211
- Fax
- (810) 220-5509
- NPI assigned
- Feb 7, 2007
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | 4704133917 | MI | Primary |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 4704133917 | MI |
Addresses
Primary practice location
12851 Grand River Rd
Brighton, MI 48116-8506
Mailing address
12851 Grand River Rd
Brighton, MI 48116-8506
Phone (810) 227-1211
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704133917 | MI | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric Support Services PLLC | Past | Accepting new patients |
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.
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- Canton, MI
- NPI 1104147347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1841330222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12851 GRAND RIVER RD",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481168506",
"telephone_number": "810-227-1211",
"fax_number": "810-220-5509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12851 GRAND RIVER RD",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481168506",
"telephone_number": "810-227-1211",
"fax_number": "810-220-5509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBLE",
"first_name": "IRENE",
"middle_name": "CAROL",
"credential": "MSRN,CARN-AP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "MI",
"license": "4704133917",
"primary": true
},
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "4704133917",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.