Individual provider Active NPI

Jared Uriah Noble

  • Marriage & Family Therapist
  • Sutter Creek, CA
National Provider Identifier
1861847378
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
155843 Issued in CA
Practice address
10877 Conductor Blvd Ste 300
Sutter Creek, CA 95685-9688
Phone
(209) 223-6412
Fax
(209) 223-0920
NPI assigned
May 3, 2016
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 136327 CA
Marriage & Family Therapist 106H00000X 155843 CA Primary

Addresses

Primary practice location

10877 Conductor Blvd Ste 300
Sutter Creek, CA 95685-9688

Mailing address

10877 Conductor Blvd Ste 300
Sutter Creek, CA 95685-9688
Phone (209) 223-6412

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
I20250819001027 CA Practitioner - Marriage and Family Therapist 0143729921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of AmadorGroup PAC ID 9537223375, 6 clinicians

Practice addresses (Care Compare)

10877 Conductor Blvd
Suite 300
Sutter Creek, CA 95685-9688
Phone (209) 223-6412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
136327CAMDMarriage & Family Therapist
155843CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Amador CurrentSince Jun 23, 2025 Accepting new patients
County of Amador CurrentSince Dec 6, 2022 Accepting new patients

Locations

10877 Conductor Blvd
Ste 300
Sutter Creek, CA 95685
Phone (209) 223-6412

Organizations & group practices 2

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": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1861847378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10877 CONDUCTOR BLVD STE 300",
            "city": "SUTTER CREEK",
            "state": "CA",
            "postal_code": "956859688",
            "telephone_number": "209-223-6412",
            "fax_number": "209-223-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10877 CONDUCTOR BLVD STE 300",
            "city": "SUTTER CREEK",
            "state": "CA",
            "postal_code": "956859688",
            "telephone_number": "209-223-6412",
            "fax_number": "209-223-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "JARED",
        "middle_name": "URIAH",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-03",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "136327",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "155843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sutter Creek, CA

Sources for this page

Verify at the official NPI Registry.