Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLY NOBLE MFT
NPI 1487112561
Marriage & Family Therapist in Santa Rosa, CA

Q: What is Kelly Noble's NPI number?

The NPI number for Kelly Noble is 1487112561. It was assigned to this individual provider in the NPPES registry on March 7, 2019.

Q: What is Kelly Noble's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Noble was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.

Active since March 07, 2019PECOS Enrolled

829 SONOMA AVE, SANTA ROSA, CA 95404(707) 408-4392 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Kelly Noble Mft NPPES

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

KELLY NOBLE MFT (NPI 1487112561) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (109543) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1487112561

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameKELLY NOBLECredential: MFT

Location Address829 SONOMA AVESanta Rosa, CA 95404-4757

Mailing AddressPo Box 9335Santa Rosa, CA 95405-1335 · (707) 408-4392

Phone(707) 408-4392

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 7, 2019

Last NPPES UpdateJune 24, 2026

NPPES CertifiedJune 24, 2026

✔ NPI 1487112561 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 · 109543

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.

829 SONOMA AVE, Santa Rosa, CA 95404

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Noble Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002302106

PECOS Enrollment IDI20251228000192

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.

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 Kelly Noble's NPI number?

The NPI number for Kelly Noble is 1487112561. It was assigned to this individual provider in the NPPES registry on March 7, 2019.

Where is Kelly Noble located?

Kelly Noble practices at 829 Sonoma Ave, Santa Rosa, CA 95404. The listed phone number is (707) 408-4392.

What is Kelly Noble's specialty?

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

Is Kelly Noble enrolled in Medicare?

Yes. Kelly Noble is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Noble was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.