Active NPI
Kendra L Noble, PSYCHOLOGICAL ASSOC
- Clinical Psychologist
- Campton, KY
National Provider Identifier
1871674085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0779
- Practice address
- 605 South Ky 15
Campton, KY 41301 - Phone
- (606) 668-7420
- Fax
- (606) 668-7404
- NPI assigned
- Oct 17, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0779 | KY | Primary |
Addresses
Primary practice location
605 South Ky 15
Campton, KY 41301
Mailing address
115 Rockwood LN
Hazard, KY 41701-9415
Phone (606) 436-5761
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 |
|---|---|---|---|
| 0779 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky River Community Care, Inc | Clinical | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871674085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 ROCKWOOD LN",
"city": "HAZARD",
"state": "KY",
"postal_code": "417019415",
"telephone_number": "606-436-5761",
"fax_number": "606-436-5797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 SOUTH KY 15",
"city": "CAMPTON",
"state": "KY",
"postal_code": "41301",
"telephone_number": "606-668-7420",
"fax_number": "606-668-7404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBLE",
"first_name": "KENDRA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "PSYCHOLOGICAL ASSOC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "0779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Campton, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.