Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeanette Small

Individual provider Counselor · NPI 1679435002

Jeanette Small is a Counselor in Bend, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2025
Specialties on file
3

Practice location Address checks out

2634 NW Shields Dr Unit 2
Bend, OR 97703-5189
Phone: (805) 637-8582
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence R12074 (OR)
Counselor Taxonomy 101Y00000X · Licence R12074 (OR)
Professional Counselor Taxonomy 101YP2500X · Licence R12074 (OR)

Record details

NPI number1679435002
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 24, 2025
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025
Mailing address2634 Nw Shields Dr Unit 2, Bend, OR 97703-5189

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