AUDRA A BLYTHE LPC
NPI 1114393204
Counselor - Professional in Houston, TX

Q: What is Audra Blythe's NPI number?

The NPI number for Audra Blythe is 1114393204. It was assigned to this individual provider in the NPPES registry on August 12, 2015.

Q: What is Audra Blythe's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Audra Blythe was last updated on February 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 12, 2015PECOS EnrolledAccepts Medicare Assignment

4635 SOUTHWEST FWY STE 635, HOUSTON, TX 77027(713) 850-0049(713) 627-7302 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Audra A Blythe Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUDRA A BLYTHE LPC (NPI 1114393204) is an individual professional provider in Houston, Texas, licensed in Texas (99310) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1114393204

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameAUDRA A BLYTHECredential: LPC

Location Address4635 SOUTHWEST FWY STE 635Houston, TX 77027-7112

Mailing Address4635 Southwest Fwy Ste 635Houston, TX 77027-7112 · (713) 850-0049 · Fax (713) 627-7302

Phone(713) 850-0049

Fax(713) 627-7302

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 12, 2015

Last NPPES UpdateFebruary 11, 2026

NPPES CertifiedFebruary 11, 2026

✔ NPI 1114393204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in TX · 99310

4635 SOUTHWEST FWY STE 635, Houston, TX 77027

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Audra A Blythe Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860975851

PECOS Enrollment IDI20260309000319

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LORI L DOWNS LPC

Counselor (Professional)