Active NPI
Xavier J Small
- Counselor
- Baltimore, MD
National Provider Identifier
1245936442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LG13350
- Practice address
- 9202 Philadelphia Rd
Baltimore, MD 21237-4319 - Phone
- (667) 378-9001
- NPI assigned
- Jan 31, 2023
- Last updated
- Jan 31, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LG13350 | MD | Primary |
Addresses
Primary practice location
9202 Philadelphia Rd
Baltimore, MD 21237-4319
Mailing address
9202 Philadelphia Rd
Baltimore, MD 21237-4319
Phone (667) 378-9001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 880618361 | Other | MD | EVOLVE COUNSELING |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG13350 | MD | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1245936442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9202 PHILADELPHIA RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212374319",
"telephone_number": "667-378-9001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9202 PHILADELPHIA RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212374319",
"telephone_number": "667-378-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALL",
"first_name": "XAVIER",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-31",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "LG13350",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVOLVE COUNSELING",
"identifier": "880618361",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.