NPIMap

Organization Active NPI

Kristle J Small

  • Community/Behavioral Health Agency
  • New Providence, PA
National Provider Identifier
1659885291
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PC007077 Issued in PA
Legal business name
KRISTLE J SMALL
Practice address
105 Darlington CT
New Providence, PA 17560-9005
Phone
(856) 979-9769
NPI assigned
Nov 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Authorized official

Name
Kristle Small, M.ED, LPCNPI 1164858874
Title
Licensed Professional Counselor
Phone
(856) 979-9769

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PC007077 PA Primary

Addresses

Primary practice location

105 Darlington CT
New Providence, PA 17560-9005

Mailing address

105 Darlington CT
New Providence, PA 17560-9005
Phone (856) 979-9769

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1659885291",
    "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": [],
    "basic": {
        "organization_name": "KRISTLE J SMALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-17",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "KRISTLE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "856-979-9769",
        "authorized_official_credential": "M.ED, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "PC007077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Providence, PA

Sources for this page

  • 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.