Kendall Layne Small, LAC
Individual provider Active NPI Mental Health Counselor · Rumson, NJ
NPI 1780562256 · NPPES record last updated Aug 23, 2025
Key facts
- NPI
- 1780562256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LAC-23064 (AZ)
- Practice address
- 78 Lafayette St
Rumson, NJ 07760-1333 - Phone
- (732) 768-6108
- NPI assigned
- Aug 23, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAC-23064 | AZ | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LAC-23064 | AZ | Yes |
Addresses
Primary practice location
78 Lafayette St
Rumson, NJ 07760-1333
Mailing address
78 Lafayette St
Rumson, NJ 07760-1333
Phone (732) 768-6108
Other providers in Rumson, NJ
- Natalie Scarmato
- Seashore Imaging
- Christopher Scott Sebring
- Shore Points Therapy, LLC
- Walter Anthony Sinopoli
- Alexandra Smith
- Jessica Lyn Susan
- TJM Healthcare
- Dean Michael Tomasello
- Alyssa Torre
All providers in Rumson, NJ · Mental Health Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.