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RENEE SMALL
NPI 1043860810
Counselor - Mental Health in Phoenix, AZ

Active since September 13, 2019Opted out of Medicare · through Nov 18, 2027
4802 E RAY RD STE 23-587, PHOENIX, AZ 85044(623) 226-8326 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 6, 2025, Mar 10, 2025, Sep 13, 2019 (3 updates tracked since 2019).

About Renee Small NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENEE SMALL (NPI 1043860810) is an individual mental health provider in Phoenix, Arizona, licensed in Arizona (LPC-22889) and active in the NPI registry since September 2019. She has opted out of Medicare through November 18, 2027 and is a graduate of Other (2017).

NPPES Registry Identity

NPI1043860810
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameRENEE SMALL
Location Address4802 E RAY RD STE 23-587Phoenix, AZ 85044-6405
Mailing Address4802 E Ray Rd Ste 23-587Phoenix, AZ 85044-6405
Phone(623) 226-8326
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 13, 2019
Last NPPES UpdateOctober 6, 20253 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
✔ NPI 1043860810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AZ · LPC-22889
4802 E RAY RD STE 23-587, Phoenix, AZ 85044
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Renee Small has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 18, 2025 through November 18, 2027.

Opt-Out Effective DateNovember 18, 2025
Opt-Out In Effect ThroughNovember 18, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renee Small's NPI number?

The NPI number for Renee Small is 1043860810. It was assigned to this individual provider in the NPPES registry on September 13, 2019.

Where is Renee Small located?

Renee Small practices at 4802 E Ray Rd Ste 23-587, Phoenix, AZ 85044. The listed phone number is (623) 226-8326.

What is Renee Small's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Renee Small enrolled in Medicare?

No. Renee Small has opted out of Medicare through November 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Renee Small accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Renee Small as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Renee Small was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.