Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALEXANDRIA ELISSA SMALL, LAC
DeactivatedALEXANDRIA ELISSA SMALL, LAC is a Mental Health Counselor healthcare provider located in FLORHAM PARK, New Jersey. NPI 1962033357 is deactivated in the NPPES registry. Verify at CMS.
Mental Health Counselor · FLORHAM PARK, NJ
This NPI has been deactivated.
The record was deactivated on September 9, 2025.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1962033357
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 4, 2020 (5.5945205479452 yrs)
- Last Updated
- Oct 17, 2025
- Deactivated
- Sep 9, 2025
- License
-
37AC00912600 (NJ)
Practice Information
- Address
-
171 RIDGEDALE AVE STE JFLORHAM PARK, NJ, 079321764Browse NJ providers · Browse ZIP 07932
- Phone
- 9735151216
- Fax
- 9735153108
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in FLORHAM PARK, NJ
| Name | Credential | NPI |
|---|---|---|
| MRS. MARISA TUCKER | L.C.S.W. | 1053346874 |
| MR. BRIAN A NANDY | LPC | 1598089633 |
| EDNA ANGELOS | MA, LPC | 1275940470 |
| PROF. JOHN AUGUST URGOLA | MA, LPC | 1164823647 |
| SARAH STRADER | LPC | 1366839284 |
| JAMIE LYNN CARVALHO | MA, LPC, LCADC | 1548702541 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.