Active NPI
Krista Small
- Mental Health Counselor
- Signal Hill, CA
National Provider Identifier
1568003184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ASW93754
- Practice address
- 2248 Obispo Ave Ste 202
Signal Hill, CA 90755-4026 - Phone
- (213) 550-2634
- NPI assigned
- Oct 4, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ASW93754 | CA | Primary |
Addresses
Primary practice location
2248 Obispo Ave Ste 202
Signal Hill, CA 90755-4026
Mailing address
2248 Obispo Ave Ste 202
Signal Hill, CA 90755-4026
Phone (213) 550-2634
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 |
|---|---|---|---|
| ASW93754 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspiranet | Current | Accepting new patients |
Locations
2248 Obispo Ave
Ste 202
Signal Hill, CA 90755
Phone 2135502634 ext. 5401
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591228800000",
"number": "1568003184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2248 OBISPO AVE STE 202",
"city": "SIGNAL HILL",
"state": "CA",
"postal_code": "907554026",
"telephone_number": "213-550-2634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2248 OBISPO AVE STE 202",
"city": "SIGNAL HILL",
"state": "CA",
"postal_code": "907554026",
"telephone_number": "213-550-2634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALL",
"first_name": "KRISTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-04",
"last_updated": "2020-06-04",
"certification_date": "2020-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW93754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Signal Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.