Active NPI
Mollie Small
- Speech-Language Pathologist
- Mountain Home, AR
National Provider Identifier
1104697093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 202525
- Practice address
- 230 Highway 5 N Ste 10
Mountain Home, AR 72653-3013 - Phone
- (870) 404-0270
- NPI assigned
- Jan 10, 2024
- Last updated
- Aug 18, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 202525 | AR | Primary |
Addresses
Primary practice location
230 Highway 5 N Ste 10
Mountain Home, AR 72653-3013
Mailing address
40 Crystal Creek Dr
Mountain Home, AR 72653-5303
Phone (870) 706-0475
Other practice location 1
201 N College St
Mountain Home, AR 72653-3653
Phone (870) 232-5999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
230 Hwy 5 N
Suite 10
Mountain Home, AR 72653-3013
Phone (870) 404-0270
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202525 | AR | MD | Speech-Language Pathologist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Mountain Home, AR
- NPI 1649880774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1104697093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 CRYSTAL CREEK DR",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726535303",
"telephone_number": "870-706-0475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 HIGHWAY 5 N STE 10",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726533013",
"telephone_number": "870-404-0270"
}
],
"practiceLocations": [
{
"address_1": "201 N College St",
"address_purpose": "LOCATION",
"city": "Mountain Home",
"state": "AR",
"postal_code": "726533653",
"country_code": "US",
"telephone_number": "870-232-5999",
"fax_number": "870-277-0896",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMALL",
"first_name": "MOLLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-10",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "202525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountain Home, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.