IndividualActive
Marley Small, LPC
NPI 1063937951 · Mental Health Counselor · Portland, OR
Provider details
- NPI number
- 1063937951
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- License
- IMF100752 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1507 Ne 122nd Ave.
Portland, OR 97230
Phone: (503) 258-4475
Fax: (503) 493-2656
Street-level locationGet directions
Mailing address
1507 Ne 122nd Ave.
Portland, OR 97230
Additional practice locations (1)
- 335 E Lake AveWatsonville, CA 95076-4826Phone: (831) 728-6445
Registry dates
- Enumerated
- 2017-08-11
- Last updated
- 2022-07-21
- Certified
- 2020-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.