JEANETTE SMALL
NPI 1679435002
Counselor - Mental Health in Bend, OR

Active since November 24, 2025
2634 NW SHIELDS DR UNIT 2, BEND, OR 97703(805) 637-8582 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeanette Small NPPES

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

JEANETTE SMALL (NPI 1679435002) is an individual mental health provider in Bend, Oregon, licensed in Oregon (R12074) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1679435002
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJEANETTE SMALL
Location Address2634 NW SHIELDS DR UNIT 2Bend, OR 97703-5189
Mailing Address2634 Nw Shields Dr Unit 2Bend, OR 97703-5189 · (805) 637-8582
Sole ProprietorYes
Enumeration DateNovember 24, 2025
NPPES CertifiedNovember 24, 2025
NPI 1679435002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in OR · R12074
Also ListedCounselorTaxonomy 101Y00000X · License R12074 (OR)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License R12074 (OR)
2634 NW SHIELDS DR UNIT 2, Bend, OR 97703

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 Jeanette Small's NPI number?

The NPI number for Jeanette Small is 1679435002. It was assigned to this individual provider in the NPPES registry on November 24, 2025.

Where is Jeanette Small located?

Jeanette Small practices at 2634 NW Shields Dr Unit 2, Bend, OR 97703. The listed phone number is (805) 637-8582.

What is Jeanette 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 Jeanette Small was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.