MARLEY ELIZABETH SMALL LPC
NPI 1063937951
Counselor - Mental Health in Portland, OR

Active since August 11, 2017
1507 NE 122ND AVE., PORTLAND, OR 97230(503) 258-4475(503) 493-2656 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Mar 24, 2020, Jan 17, 2019 and 1 more (4 updates tracked since 2017).

About Marley Elizabeth Small Lpc NPPES

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

MARLEY ELIZABETH SMALL LPC (NPI 1063937951) is an individual mental health provider in Portland, Oregon, licensed in California (IMF100752) and active in the NPI registry since August 2017. She maintains a secondary practice location in Watsonville.

NPPES Registry Identity

NPI1063937951
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARLEY ELIZABETH SMALLCredential: LPC
Location Address1507 NE 122ND AVE.Portland, OR 97230
Mailing Address1507 Ne 122nd Ave.Portland, OR 97230 · (503) 258-4475 · Fax (503) 493-2656
Fax(503) 493-2656
Sole ProprietorNo
Enumeration DateAugust 11, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedMarch 24, 2020
NPI 1063937951 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 CA · IMF100752
1507 NE 122ND AVE., Portland, OR 97230

Other Names 1

Former Name (1)Marley Elizabeth Villanueva

Secondary Practice Location 1

Location 1335 E Lake AveWatsonville, CA 95076-4826 · Phone (831) 728-6445

Accepted Insurance

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 Marley Small's NPI number?

The NPI number for Marley Small is 1063937951. It was assigned to this individual provider in the NPPES registry on August 11, 2017. The provider is also known as Marley Elizabeth Villanueva.

Where is Marley Small located?

Marley Small practices at 1507 NE 122nd Ave., Portland, OR 97230. The listed phone number is (503) 258-4475.

What is Marley Small's specialty?

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

What insurance does Marley Small accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Marley 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 Marley Small was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.