SHANNON NOBLES
NPI 1457699720
Marriage & Family Therapist in Modesto, CA

Active since January 22, 2013PECOS EnrolledAccepts Medicare Assignment
3425 COFFEE RD, MODESTO, CA 95355(209) 524-9401 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Nobles NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON NOBLES (NPI 1457699720) is an individual marriage & family therapist in Modesto, California, licensed in California (LMFT124613) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1457699720
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSHANNON NOBLES
Location Address3425 COFFEE RDModesto, CA 95355-1582
Mailing Address3425 Coffee RdModesto, CA 95355-1582 · (209) 524-9401
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 22, 2013
Last NPPES UpdateOctober 17, 2023
NPPES CertifiedOctober 17, 2023
NPI 1457699720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · LMFT124613
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
3425 COFFEE RD, Modesto, CA 95355

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shannon Nobles is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991156481
PECOS Enrollment IDI20240109003195
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
3425 COFFEE RD, SUITE 2A
MODESTO, CA 95355
Psychologist (Clinical)
3425 COFFEE RD, SUITE 2A
MODESTO, CA 95355
Clinic/Center (Mental Health (Including Community Mental Health Center))
3425 COFFEE RD
MODESTO, CA 95355
Nurse Practitioner (Psychiatric/Mental Health)
3425 COFFEE RD, SUITE 2A
MODESTO, CA 95355
Marriage & Family Therapist
3425 COFFEE RD, SUITE 2A
MODESTO, CA 95355
Counselor (Professional)
3425 COFFEE RD
MODESTO, CA 95355
Psychologist (Clinical)
3425 COFFEE RD, SUITE 2A
MODESTO, CA 95355
Psychologist (Clinical)
3425 COFFEE RD, SUITE 2A
MODESTO, CA 95355

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Nobles's NPI number?

The NPI number for Shannon Nobles is 1457699720. It was assigned to this individual provider in the NPPES registry on January 22, 2013.

Where is Shannon Nobles located?

Shannon Nobles practices at 3425 Coffee Rd, Modesto, CA 95355. The listed phone number is (209) 524-9401.

What is Shannon Nobles's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Shannon Nobles enrolled in Medicare?

Yes. Shannon Nobles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shannon Nobles was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.