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NOEL ALTAHA
NPI 1669944914
Social Worker in Fort Apache, AZ

Active since December 27, 2018PECOS Enrolled
213 WEST BEARGRASS DRIVE, FORT APACHE, AZ 85926(480) 519-6392 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 12, 2025, Dec 27, 2018 (2 updates tracked since 2018).

About Noel Altaha NPPES

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

NOEL ALTAHA (NPI 1669944914) is an individual social worker in Fort Apache, Arizona, licensed in Arizona (LMSW-20757) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1669944914
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameNOEL ALTAHA
Location Address213 WEST BEARGRASS DRIVEFort Apache, AZ 85926-0803
Mailing AddressPo Box 803Fort Apache, AZ 85926-0803 · (480) 519-6392
Phone(480) 519-6392
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 27, 2018
Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
✔ NPI 1669944914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Licenses✔ Licensed in AZ · LMSW-20757✔ Licensed in NY · 104726-1
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
213 WEST BEARGRASS DRIVE, Fort Apache, AZ 85926
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Secondary Practice Location 1

Location 1112 N Central Ave Ste M43Phoenix, AZ 85004-2309 · Phone (888) 500-2067 · Fax (617) 649-8520

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Noel Altaha is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981190055
PECOS Enrollment IDI20251229002278
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.

Medicare Billing Reassignment

Medicare enrollment records show Noel Altaha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tonto Apache Healthcare LLC
80 mi
Primary Care
40 TONTO APACHE RESERVATION
Payson, AZ 85541
  • Reassigned Medicare billing, Arizona enrollment
  • 6 clinicians in this Medicare group
NPI 1447843651 (928) 474-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Noel Altaha's NPI number?

The NPI number for Noel Altaha is 1669944914. It was assigned to this individual provider in the NPPES registry on December 27, 2018.

Where is Noel Altaha located?

Noel Altaha practices at 213 West Beargrass Drive, Fort Apache, AZ 85926. The listed phone number is (480) 519-6392.

What is Noel Altaha's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Noel Altaha enrolled in Medicare?

Yes. Noel Altaha is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Noel Altaha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Noel Altaha reassigns Medicare benefits to Tonto Apache Healthcare LLC (Payson, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Noel Altaha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Noel Altaha 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 11 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.