NOBLE JOURNEY LLC
NPI 1477413672
Social Worker - Clinical in Kenosha, WI

Active since November 12, 2025
6300 76TH ST STE 200, KENOSHA, WI 53142(262) 960-1981 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Noble Journey Llc NPPES

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

NOBLE JOURNEY LLC (NPI 1477413672) is a healthcare organization registered as a clinical in Kenosha, Wisconsin and active in the NPI registry since November 2025. The organization lists Nyles Antony Jackson, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1477413672
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameNOBLE JOURNEY LLC
Location Address6300 76TH ST STE 200Kenosha, WI 53142-4018
Mailing Address2800 E Enterprise Ave Ste 333Appleton, WI 54913-7889 · (262) 960-1981
Organization SubpartNo
Authorized OfficialNyles Antony JacksonPsychotherapist · (262) 960-1981
Enumeration DateNovember 12, 2025
NPPES CertifiedNovember 12, 2025
NPI 1477413672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
6300 76TH ST STE 200, Kenosha, WI 53142

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Noble Journey LLC's NPI number?

The NPI number for Noble Journey LLC is 1477413672. It was assigned to this organization in the NPPES registry on November 12, 2025.

Where is Noble Journey LLC located?

Noble Journey LLC is located at 6300 76th St Ste 200, Kenosha, WI 53142. The listed phone number is (262) 960-1981.

What is Noble Journey LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Noble Journey LLC was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.