AUDRA SMALLWOOD MS, LPC, LBS
NPI 1184334054
Counselor - Professional in West Lawn, PA

Active since December 01, 2022PECOS Enrolled
1103 ROCKY RD STE 202, WEST LAWN, PA 19609(484) 272-2604 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 5, 2026, Sep 11, 2025, Aug 14, 2025 and 1 more (4 updates tracked since 2022).

About Audra Smallwood Ms, Lpc, Lbs NPPES

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

AUDRA SMALLWOOD MS, LPC, LBS (NPI 1184334054) is an individual professional provider in West Lawn, Pennsylvania, licensed in Pennsylvania (PC019144) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1184334054
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAUDRA SMALLWOODCredential: MS, LPC, LBS
Location Address1103 ROCKY RD STE 202West Lawn, PA 19609-1166
Mailing Address385 Main StMohrsville, PA 19541-8841 · (484) 272-2604
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateDecember 1, 2022
Last NPPES UpdateJanuary 5, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
NPI 1184334054 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 PA · PC019144
1103 ROCKY RD STE 202, West Lawn, PA 19609

Other Names 1

Former Name (1)Audra Beck Ms, Lbs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Audra Smallwood Ms, Lpc, Lbs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951890078
PECOS Enrollment IDI20251029003002
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.

Other Providers at the Same Location NPPES 3

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

Social Worker (Clinical)
1103 ROCKY RD STE 202
WEST LAWN, PA 19609
Clinic/Center (Mental Health (Including Community Mental Health Center))
1103 ROCKY RD STE 202
WEST LAWN, PA 19609
Counselor (Professional)
1103 ROCKY RD STE 202
WEST LAWN, PA 19609

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Audra Smallwood's NPI number?

The NPI number for Audra Smallwood is 1184334054. It was assigned to this individual provider in the NPPES registry on December 1, 2022. The provider is also known as Audra Beck Ms, Lbs.

Where is Audra Smallwood located?

Audra Smallwood practices at 1103 Rocky Rd Ste 202, West Lawn, PA 19609. The listed phone number is (484) 272-2604.

What is Audra Smallwood's specialty?

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

Is Audra Smallwood enrolled in Medicare?

Yes. Audra Smallwood is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Audra Smallwood was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.