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

Q: 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.

Q: What is Marley Small's specialty?

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

Q: 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.

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: November 08, 2026.

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

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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

Phone(503) 258-4475

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

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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

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.

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.