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

Renee Small

Individual provider Mental Health Counselor · NPI 1043860810

Renee Small is a Mental Health Counselor in Phoenix, Arizona. Qualified in 2017, 9 years ago. Practices as a sole proprietor. Licensed in Arizona.

Years since qualifying
9
Licensed in
AZ
In the registry since
2019
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Practice location Address checks out

4802 E Ray Rd Ste 23-587
Phoenix, AZ 85044-6405
Phone: (623) 226-8326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPC-22889 (AZ)

Record details

NPI number1043860810
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 13, 2019
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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