MS. JESSICA JANE MOUTENOT-SMALL (NPI# 1972830107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972830107 |
| Entity Type | Individual |
| Full Name | MS. JESSICA JANE MOUTENOT-SMALL |
| Other Name | JESSICA JANE SMALL |
| Credential | M.A., MFT |
| Practice Address |
421 Park St Ste 2 Charlottesville VA 22902-4749 |
| Practice Telephone | 4342600348 |
| Mailing Telephone | 4342600348 |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2020-02-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
421 PARK ST STE 2 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22902-4749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699263608 | Jeraline Rachele Evans | Health Educator | 151 Mcintire Park Dr. (piedmont Family Ymca), Charlottesville, VA 22902 | 2018-04-25 |
| 1457853905 | Elizabeth Blaker Tyson Walter | Speech-Language Pathologist | 401 Mcintire Rd. Room 323, Charlottesville, VA 22902 | 2018-03-01 |
| 1376056317 | Erin E Horn | Psychologist | 302 Park St Ste 204, Charlottesville, VA 22902 | 2017-11-13 |
| 1023429982 | Barrie Gleason Carveth | Nurse Practitioner | 435 Merchant Walk Sq, Charlottesville, VA 22902 | 2014-05-14 |
| 1285054825 | Alfred N. Yarbrough | Dentist | 1101 East Jefferson Street, Suite 7, Charlottesville, VA 22902 | 2014-04-22 |
| 1801227400 | Fox & Brantley Internal Medicine, A Division of Anchor Healthcare, Plc | Internal Medicine | 908 E Jeffeson St, Suite G1, Charlottesville, VA 22902 | 2013-12-06 |
| 1245557982 | Wendy Price Summer | Counselor | 509 Park Street, Charlottesville, VA 22902 | 2010-04-20 |
| 1659520914 | Christie Marie Savage | Acupuncturist | 108 5th St Se, Suite 207, Charlottesville, VA 22902 | 2008-09-11 |
| 1376733063 | Alison C. Derbes | Radiology | 107 S 1st St, Apartment 401, Charlottesville, VA 22902 | 2007-07-28 |
| 1275732901 | Cali Belknap Gaston | Acupuncturist | 420 Third Street, Ne, Charlottesville, VA 22902 | 2007-07-12 |
| Find all providers in zip 22902 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619515970 | Mary Elizabeth Feamster | Counselor | 2625 Meriwether Dr, Charlottesville, VA 22901-9512 | 2019-12-18 |
| 1548808900 | Jacque Karen Gentry | Counselor | 1445 E Rio Rd, Charlottesville, VA 22901-1751 | 2019-12-17 |
| 1396393187 | J Brian Suchocki | Counselor | 709 W Main St Ste A, Charlottesville, VA 22903-4570 | 2019-08-27 |
| 1093285033 | Lauren May | Counselor | 709a W Main St, Charlottesville, VA 22903-4570 | 2018-12-03 |
| 1639460546 | Hunter Teets | Counselor | 618 Forest St Ste B, Charlottesville, VA 22903-5267 | 2011-04-26 |
| 1912198227 | John W Prickett | Counselor | 3500 Remson Ct., Charlottesville, VA 22906 | 2007-08-05 |
| 1013043108 | Maurice Apprey | Counselor | 2955 Ivy Road, Suite 210, Uva Northridge, Charlottesville, VA 22903 | 2007-02-26 |
| 1265567093 | Kathryn Korbon | Counselor | 350 Gillums Ridge Rd, Charlottesville, VA 22903-7653 | 2007-02-22 |
| 1821166778 | Chapin Faulconer | Counselor | 1 Boars Head Pl, Charlottesville, VA 22903-4628 | 2006-11-30 |
| 1336244201 | Poehailos Dupont & Assoc | Counselor | 887b Rio East Court, Charlottesville, VA 22901 | 2006-09-14 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22902 |
Please comment or provide details below to improve the information on MS. JESSICA JANE MOUTENOT-SMALL.
| 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.