Individual provider Active NPI

Marilyn Jean Eppler-Noble, MA, MFT

  • Marriage & Family Therapist
  • Modesto, CA
National Provider Identifier
1871699330
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC29832 Issued in CA
Practice address
909 15TH St
Suite 8
Modesto, CA 95354-1130
Phone
(209) 529-7807
Fax
(209) 529-7919
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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 MFC29832 CA Primary

Addresses

Primary practice location

909 15TH St
Suite 8
Modesto, CA 95354-1130

Mailing address

PO Box 5261
Modesto, CA 95352-5261
Phone (209) 529-7807

Other names 1

  • Mrs. Marilyn Jean Eppler Professional name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC29832CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
City Psychology, Inc. PastSince Jan 7, 2016 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1871699330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5261",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953525261",
            "telephone_number": "209-529-7807",
            "fax_number": "209-529-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 15TH ST",
            "address_2": "SUITE 8",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541130",
            "telephone_number": "209-529-7807",
            "fax_number": "209-529-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPLER-NOBLE",
        "first_name": "MARILYN",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "MA, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC29832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "EPPLER",
            "middle_name": "JEAN",
            "prefix": "MRS.",
            "credential": "MA, MFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.

Verify at the official NPI Registry.