Organization
NOBLE JOURNEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NYLES ANTONY JACKSON DSW, LCSW (PSYCHOTHERAPIST)
(262) 960-1981
Entity
Organization
Contact information
Practice address
6300 76TH ST STE 200, KENOSHA, WI 53142-4018
(262) 960-1981
Mailing address
2800 E ENTERPRISE AVE STE 333, APPLETON, WI 54913-7889
(262) 960-1981
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up