Individual provider Active NPI

Leslie F Small, MS LPC

  • Professional Counselor
  • Jamesburg, NJ
National Provider Identifier
1811262868
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00439900 Issued in NJ
Practice address
9 Davison Ave
Suite #3
Jamesburg, NJ 08831-1373
Phone
(732) 997-0214
NPI assigned
Mar 8, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37PC00439900 NJ
Professional Counselor 101YP2500X 37PC00439900 NJ Primary

Addresses

Primary practice location

9 Davison Ave
Suite #3
Jamesburg, NJ 08831-1373

Mailing address

9 Davison Ave Ste 7
Jamesburg, NJ 08831-1373
Phone (732) 997-0214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240511000389 NJ Practitioner - Mental Health Counselor 0345681094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

10 Allen St
Unit 4 B
Toms River, NJ 08753-7652
Phone (201) 820-0057

505 Main St
Toms River, NJ 08753-7443
Phone (732) 852-4977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC Mental Health CurrentSince Apr 29, 2024 Accepting new patients
Lifebulb LLC Mental Health PastSince Oct 16, 2022 Accepting new patients

Locations

505 Main St
Toms River, NJ 08753
Phone (732) 272-0127

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 2

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": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1811262868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 DAVISON AVE STE 7",
            "city": "JAMESBURG",
            "state": "NJ",
            "postal_code": "088311373",
            "telephone_number": "732-997-0214",
            "fax_number": "732-338-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 DAVISON AVE",
            "address_2": "SUITE #3",
            "city": "JAMESBURG",
            "state": "NJ",
            "postal_code": "088311373",
            "telephone_number": "732-997-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "LESLIE",
        "middle_name": "F",
        "credential": "MS LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-08",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00439900",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00439900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamesburg, NJ

Sources for this page

Verify at the official NPI Registry.