Nicole Small

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13214858-6004 Issued in UT

Practice address

3751 Blackstone Dr Unit 3I
Park City, UT 84098-6783

Phone

(917) 589-0863

NPI assigned

Apr 30, 2025

Last updated

Apr 30, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1942098611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 BLACKSTONE DR UNIT 3I",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840986783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 BLACKSTONE DR UNIT 3I",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840986783",
            "telephone_number": "917-589-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "13214858-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stephanie M Singer, D.O.
• Eliza Yvette Slagle, ACMHC
• Abigail Smalley
• Katherine Elizabeth Smiley
• Tonya Nicole Smiley, PT
• Austin Smith, M.D.
• Blair Archbold Smith, DPT

• Mental Health Counselor in Park City, UT
• Providers in Park City, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.