Individual provider Active NPI

Mary M Noble

  • Mental Health Counselor
  • Barnsdall, OK
National Provider Identifier
1912318072
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
401 W. Main St.
Barnsdall, OK 74002-0000
Phone
(918) 521-6020
NPI assigned
May 12, 2014
Last updated
Jan 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Behavior Analyst 103K00000X

Addresses

Primary practice location

401 W. Main St.
Barnsdall, OK 74002-0000

Mailing address

401 W. Main St.
Barnsdall, OK 74002-0000
Phone (918) 521-6020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20191204001654 OK Practitioner - Clinical Social Worker 6709219850 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Lake Mental Health Center, Inc. CurrentSince Oct 12, 2019 Accepting new patients
Grand Lake Mental Health Center, Inc. CurrentSince Oct 12, 2019 Accepting new patients
Grand Lake Mental Health Center, Inc. Current Accepting new patients
Noble Therapy, PLLC CurrentSince Oct 13, 2024 Accepting new patients

Locations

3100 Medical Pkwy
Claremore, OK 74017
Phone (539) 242-3322

111 S Treaty Rd
Miami, OK 74354
Phone (918) 540-1511

114 W Delaware Ave
Nowata, OK 74048
Phone 91827318412207

4019 N Classen Blvd
Oklahoma City, OK 73118
Phone (918) 521-6020

Organizations & group practices 4

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": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1912318072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W. MAIN ST.",
            "city": "BARNSDALL",
            "state": "OK",
            "postal_code": "740020000",
            "telephone_number": "918-521-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W. MAIN ST.",
            "city": "BARNSDALL",
            "state": "OK",
            "postal_code": "740020000",
            "telephone_number": "918-521-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "MARY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-12",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnsdall, OK

Sources for this page

Verify at the official NPI Registry.