Provider Demographics
NPI:1306850821
Name:NOLL, RACHELLE MARIE (MS, LPC)
Entity type:Individual
Prefix:MRS
First Name:RACHELLE
Middle Name:MARIE
Last Name:NOLL
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:RACHELLE
Other - Middle Name:MARIE
Other - Last Name:SERRONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LPC
Mailing Address - Street 1:7280 NW 87TH TERRACE NOVO COUNSELING KC, LLC
Mailing Address - Street 2:SUITE 210
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64153-3706
Mailing Address - Country:US
Mailing Address - Phone:816-841-7735
Mailing Address - Fax:816-817-0712
Practice Address - Street 1:7280 NW 87TH TERRACE NOVO COUNSELING KC, LLC
Practice Address - Street 2:SUITE 210
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64153-3706
Practice Address - Country:US
Practice Address - Phone:816-841-7735
Practice Address - Fax:816-817-0712
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001001601101Y00000X, 101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO495370413Medicaid