MRS. PATRICIA SUSAN SMALL (NPI# 1013139724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013139724 |
| Entity Type | Individual |
| Full Name | MRS. PATRICIA SUSAN SMALL |
| Credential | LPC, NCC |
| Practice Address |
11250 Roger Bacon Dr Suite 6 Reston VA 20190-5219 |
| Practice Telephone | 7034039773 |
| Mailing Telephone | 7034039773 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2012-11-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701003825 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417140260 | Patricia B Small | Counselor | 60 Merrimack St, Haverhill, MA 01830-6207 | 2007-08-24 |
| 1295810463 | Patricia Small | Family Medicine | 489 State Street, Kelley 6, Bangor, ME 04401 | 2006-10-26 |
| 1154341980 | Patricia Small | Social Worker | 80 5th Ave, Suite 903a, New York, NY 10011-8002 | 2006-07-21 |
| Street Address |
11250 ROGER BACON DR SUITE 6 |
| City | RESTON |
| State | VA |
| Zip Code | 20190-5219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558383455 | Marsha Joan Swerdloff | Social Worker | 11250 Roger Bacon Dr, Suite 7, Reston, VA 20190-5219 | 2006-07-23 |
| 1871837781 | Naomi Phyllis Bartakke | Social Worker | 11250 Roger Bacon Dr, Suite 6, Reston, VA 20190-5219 | 2012-11-15 |
| 1346557394 | Judith Rose Brown | Counselor | 11250 Roger Bacon Dr, Reston, VA 20190-5219 | 2010-09-10 |
| 1619103140 | Earl R Durant | Counselor | 11250 Roger Bacon Dr, Suite 12, Reston, VA 20190-5219 | 2009-06-10 |
| 1013116789 | Nancy Whiteley | Counselor | 11250 Roger Bacon Dr, Suite 7, Reston, VA 20191 | 2007-07-13 |
| 1770787129 | Michael B Goodman | Social Worker | 11250 Roger Bacon Dr, Suite 12, Reston, VA 20190-5219 | 2007-06-11 |
| 1386863751 | Mary Elizabeth Gibbons | Acupuncturist | 11250 Roger Bacon Dr, Suite 23, Reston, VA 20190-5219 | 2007-04-24 |
| 1093849093 | Linda C. Rubinstein | Social Worker | 11250 Roger Bacon Dr, The Atrium, Suite 12, Reston, VA 20190-5219 | 2007-03-14 |
| 1275663890 | Ellen J Kabat | Social Worker | 11250 Roger Bacon Dr, #7, Reston, VA 20190-5202 | 2007-03-06 |
| 1467515676 | Jean S Gold | Social Worker | 11250 Roger Bacon Dr, #12, Reston, VA 20190-5219 | 2006-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
| 1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
| 1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
| 1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
| 1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
| 1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
| Find all providers in zip 20190 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457906125 | Julieta Paulina Graves | Counselor | 11250 Roger Bacon Dr # 15-303, Reston, VA 20190-5219 | 2019-08-08 |
| 1194378836 | Candice T Mckinney | Counselor | 11250 Roger Bacon Drive, Atrium #5, Reston, VA 20190-2019 | 2019-07-22 |
| 1477048429 | Kathryn Hillary Tedeschi | Counselor | 11250 Roger Bacon Dr Bldg 10, Reston, VA 20190-5219 | 2018-06-22 |
| 1386178754 | Rachel Townes | Counselor | 1930 Isaac Newton Sq W Ste 150, Reston, VA 20190-5011 | 2017-04-12 |
| 1558816355 | Steve Zappalla | Counselor | 12097 Edgemere Cir, Reston, VA 20190-3260 | 2016-08-22 |
| 1821347204 | Latasha Monique Scott | Counselor | 11250 Roger Bacon Dr Ste 15, Reston, VA 20190 | 2012-08-31 |
| 1720398936 | Mary Linda Sara | Counselor | 11367 Sunset Hills Rd, Reston, VA 20190-5205 | 2010-10-21 |
| 1780877225 | Kathryn L Vieweg | Counselor | 1760 Reston Pkwy Ste 212, Reston, VA 20190-3358 | 2007-08-18 |
| 1982821104 | Maria C. Mileo-silva | Counselor | 12040 South Lakes Dr., Suite 204, Reston, VA 20191 | 2007-04-19 |
| 1033120951 | Ruth A Freud | Counselor | 11260 Roger Bacon Dr Ste 204, Reston, VA 20190-5252 | 2006-08-10 |
| Find all providers in RESTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.