Mrs Angela Henderson Small, MS, LCMHC, NCC in Wilson, NC

Mrs Angela Henderson Small, MS, LCMHC, NCC is a medicare enrolled "Counselor - Professional" provider in Wilson, North Carolina. Her current practice location is 2405 Nash St Nw Ste D, Wilson, North Carolina. You can reach out to her office (for appointments etc.) via phone at (252) 319-5454.

Mrs Angela Henderson Small is licensed to practice in North Carolina (license number 7879) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1568786424.

Contact Information

	Mrs Angela Henderson Small, MS, LCMHC, NCC
	2405 Nash St Nw Ste D, Wilson, NC 27896-1634
	(252) 319-5454
	(252) 376-1009

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Angela Henderson Small
Gender	Female
Speciality	Counselor - Professional
Location	2405 Nash St Nw Ste D, Wilson, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568786424
Provider Enumeration Date: 03/22/2010
Last Update Date: 05/05/2025

Medicare PECOS Information:

PECOS PAC ID: 3476081589
Enrollment ID: I20250116001731

Medical Identifiers

Medical identifiers for Mrs Angela Henderson Small such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568786424	NPI	-	NPPES
1376989756	Other	NC	BCBS
1568786424	Other	NC	BCBS
506455	Other	NC	TRICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	7879 (North Carolina)	Secondary
101YM0800X	Counselor - Mental Health	7879 (North Carolina)	Secondary
101YP2500X	Counselor - Professional	7879 (North Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Angela Henderson Small allows following entities to bill medicare on her behalf.

Entity Name	Carolina Wellness And Counseling, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376989756 PECOS PAC ID: 2567990674 Enrollment ID: O20250116001509

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Angela Henderson Small is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Angela Henderson Small, MS, LCMHC, NCC 2405 Nash St Nw Ste D, Wilson, NC 27896-1634 Ph: (252) 319-5454	Mrs Angela Henderson Small, MS, LCMHC, NCC 2405 Nash St Nw Ste D, Wilson, NC 27896-1634 Ph: (252) 319-5454

Reviews and Comments

Counselor in Wilson, NC

Mrs. Kirstie Steele, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 459, Wilson, NC 27894 Phone: 252-206-4193
Tyler Walston, CSAC, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3904 Airport Dr Nw Ste A, Wilson, NC 27896 Phone: 919-269-9300
Kiyoni Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3911 Country Club Dr Nw, Wilson, NC 27896 Phone: 252-360-8206
Melissa Williamson Marshall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 Green St E, Wilson, NC 27893 Phone: 252-243-9800 Fax: 252-243-9888
Mrs. Colleen Dougherty Raper, MS, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4205 Dewfield Dr N, Wilson, NC 27896 Phone: 252-237-1514
Martin Jerome Cox Jr., MS, CRC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 306 Nash St Ne, Wilson, NC 27893 Phone: 252-237-7161
Prince U Uzuka, LCAS-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 3709 Nash St Nw, Wilson, NC 27896 Phone: 185-540-5144

Mrs Angela Henderson Small, MS, LCMHC, NCC - Medicare Counselor in Wilson, NC