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

Mrs. Angela Henderson Small, MS, LCMHC, NCC

Individual provider Counselor · NPI 1568786424

Mrs. Angela Henderson Small, MS, LCMHC, NCC is a Mental Health Counselor in Wilson, North Carolina. Qualified in 2007, 19 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
19
Licensed in
NC
In the registry since
2010
Specialties on file
3
What do these letters mean?
MS — Master of Science
A graduate science degree.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

2405 Nash St NW Ste D
Wilson, NC 27896-1634
Phone: (252) 319-5454
Fax: (252) 376-1009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 7879 (NC)
Counselor Taxonomy 101Y00000X · Licence 7879 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence 7879 (NC)

Record details

NPI number1568786424
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LCMHC , NCC
Sole proprietorYes
NPI enumeratedMarch 22, 2010
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wilson