Kristle J. Small

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC007077 Issued in PA

Practice address

105 Darlington CT
New Providence, PA 17560-9005

Phone

(856) 979-9769

NPI assigned

Sep 25, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kristle J Small

  • Community/Behavioral Health Agency
  • New Providence, PA
  • NPI 1659885291
  NPD Authorized official
• Kristle J Small Counseling Group

  • Professional Counselor
  • New Providence, PA
  • NPI 1508459363
  NPD Authorized official
• Journey to Joy Collective LLC

  • Mental Health Counselor
  • Philadelphia, PA
  • NPI 1033075635
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1164858874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 DARLINGTON CT",
            "city": "NEW PROVIDENCE",
            "state": "PA",
            "postal_code": "175609005",
            "telephone_number": "856-979-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 DARLINGTON CT",
            "city": "NEW PROVIDENCE",
            "state": "PA",
            "postal_code": "175609005",
            "telephone_number": "856-979-9769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Germay Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198041127",
            "country_code": "US",
            "telephone_number": "267-918-1228",
            "fax_number": "267-918-1228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALL",
        "first_name": "KRISTLE",
        "middle_name": "J.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC007077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Majaih Kromah
• New Providence Home Health Care Services
• New Providence Home Health Care Services
• Providence Township Ambulance Assoc
• Carol Jeanne Pugh, CNM
• T.W. Ponessa and Associates Counseling Services, Inc.

• Professional Counselor in New Providence, PA
• Providers in New Providence, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.