Janine F. Small Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089-0000979 Issued in VT

Legal business name

JANINE F. SMALL INC

Doing business as

Crossroads Counseling Center

Practice address

215 Stratton Rd
Rutland, VT 05701-4621

Phone

(802) 773-3352

Fax

(802) 774-6245

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Janine Small, LICSWNPI 1528100260

Title

President

Phone

(802) 773-3352

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Crossroads Counseling Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janine F. Small, LICSW

  • Clinical Social Worker
  • Bomoseen, VT
  • NPI 1528100260
  NPD (past) Authorized official

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497897276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 STRATTON RD",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014621",
            "telephone_number": "802-773-3352",
            "fax_number": "802-774-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 STRATTON RD",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014621",
            "telephone_number": "802-773-3352",
            "fax_number": "802-774-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANINE F. SMALL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "JANINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-773-3352",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089-0000979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010436",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL PROVIDER",
            "identifier": "00068520",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP PROVIDER NUMBER",
            "identifier": "382115",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Integrative Cardiology
• Martin Joseph Irons, B.PHARM., CDE
• Oana Ivan
• Jacquelyn E. Bode, M.Ed., Inc.
• Dale S Janik, MD
• Nancy R. Jarrosak, M.S. CCC-SLP
• Jeffrey Pozon Jauigue, P.T.
• Katelyn Jax
• Veronika Jedlovszky, MD
• Jennifer Fauntleroy, M.D., P.C.

• Clinical Social Worker in Rutland, VT
• Providers in Rutland, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.