Individual provider Active NPI

Gavin Noble, LAMFT

  • Marriage & Family Therapist
  • Bluffton, SC
National Provider Identifier
1932915675
Registry record updated Dec 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
10153 Issued in SC
Practice address
102 Buckwalter Pkwy Ste 3Uv
Bluffton, SC 29910-4132
Phone
(843) 290-6828
NPI assigned
Dec 7, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2024

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 10153 SC Primary

Addresses

Primary practice location

102 Buckwalter Pkwy Ste 3Uv
Bluffton, SC 29910-4132

Mailing address

2247 E Victory Dr
Savannah, GA 31404-3919

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

LicenseStateTypeSpecialty
10153SCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Counseling Associates of the Lowcountry, LLC CurrentSince Dec 8, 2024 Accepting new patients

Locations

102 Buckwalter Pkwy
Ste 3UV
Bluffton, SC 29910
Phone (843) 290-6828

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": "1733529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733529600000",
    "number": "1932915675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2247 E VICTORY DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314043919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BUCKWALTER PKWY STE 3UV",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104132",
            "telephone_number": "843-290-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "GAVIN",
        "credential": "LAMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-07",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SC",
            "license": "10153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2024; 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.