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MS. KIMBERLY SMALL LPC
NPI 1437540820
Counselor - Professional in Virginia Beach, VA

Active since February 06, 2015Opted out of Medicare · through Jan 3, 2028
1712 SIR WILLIAM OSLER DRIVE, VIRGINIA BEACH, VA 23454(757) 354-4008(757) 512-8041 Get Directions Write a Review

NPPES record last updated: March 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kimberly Small Lpc NPPES

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

MS. KIMBERLY SMALL LPC (NPI 1437540820) is an individual professional provider in Virginia Beach, Virginia, licensed in Virginia (0701005889) and active in the NPI registry since February 2015. She has opted out of Medicare through January 3, 2028.

NPPES Registry Identity

NPI1437540820
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. KIMBERLY SMALLCredential: LPC
Location Address1712 SIR WILLIAM OSLER DRIVEVirginia Beach, VA 23454
Mailing Address1712 Sir William Osler DriveVirginia Beach, VA 23454 · (757) 354-4008 · Fax (757) 512-8041
Phone(757) 354-4008
Fax(757) 512-8041
Sole ProprietorYes
Enumeration DateFebruary 6, 2015
Last NPPES UpdateMarch 10, 2017
✔ NPI 1437540820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701005889
1712 SIR WILLIAM OSLER DRIVE, Virginia Beach, VA 23454
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Kimberly Small Lpc 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 January 3, 2024 through January 3, 2028.

Opt-Out Effective DateJanuary 3, 2024
Opt-Out In Effect ThroughJanuary 3, 2028Opt-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 Kimberly Small's NPI number?

The NPI number for Kimberly Small is 1437540820. It was assigned to this individual provider in the NPPES registry on February 6, 2015.

Where is Kimberly Small located?

Kimberly Small practices at 1712 Sir William Osler Drive, Virginia Beach, VA 23454. The listed phone number is (757) 354-4008.

What is Kimberly Small's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kimberly Small enrolled in Medicare?

No. Kimberly Small has opted out of Medicare through January 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kimberly Small was last updated on March 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.