Alexandria Elissa Small, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00912600 Issued in NJ

Practice address

171 Ridgedale Ave Ste J
Florham Park, NJ 07932-1764

Phone

(973) 515-1216

Fax

(973) 515-3108

NPI assigned

Feb 4, 2020

Reactivated

Oct 17, 2025

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

Practice roles

Locations

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.

• Psychotherapymilestones II

  • Mental Health Counselor
  • Florham Park, NJ
  • NPI 1528787108
  NPD
• Psychotherapy Milestones LLC

  • Professional Counselor
  • East Hanover, NJ
  • NPI 1194273284
  NPD (past)

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1962033357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 RIDGEDALE AVE STE J",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321764",
            "telephone_number": "973-515-1216",
            "fax_number": "973-515-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 RIDGEDALE AVE STE J",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321764",
            "telephone_number": "973-515-1216",
            "fax_number": "973-515-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "ALEXANDRIA",
        "middle_name": "ELISSA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "deactivation_date": "2025-09-09",
        "reactivation_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00912600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SJV 1 Florham Park Opco LLC
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• Skin Imaging Investor Group
• Sleep Solutions of NJ LLC
• Malgorzata Slugocki, PHARMD
• Smile Den LLC
• Ashley A Smith, LPC
• George Smith
• L Jane Smith, MSW, LCSW
• Vineet V. Sohoni, D.D.S.

• Mental Health Counselor in Florham Park, NJ
• Providers in Florham Park, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.