Dr. John R Small , PhD
Counselor • Columbia, MO
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Small has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. John Small, PhD was a registered Counselor practicing in Columbia, MO. Throughout an active medical career spanning 11 years, Dr. Small provided care at the practice location at 2100 E BROADWAY STE 315 until profile deactivation on 2018-03-12.
Practice Location & Contact Primary Location
2100 E Broadway Ste 315
Columbia, MO 652016082
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in Columbia, MO
Practicing in Columbia, MO (1111 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101Y00000X
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 12, 2018
NPI status registered as active in NPPES database
Registered at 2100 E BROADWAY STE 315, COLUMBIA, MO 652016082 (Tel: 5734428550)
Registered at 2100 E BROADWAY STE 315, COLUMBIA, MO 652016082 (Tel: 5734428550)
Recorded as JOHN SMALL, PH.D.
Counselor
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2100 E Broadway Ste 315
Columbia, MO 652016082
Phone: 5734428550
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