AUDRA-JANE TWIDWELL LPC
NPI 1831796283
Counselor - Professional in West Allis, WI

Active since October 07, 2020PECOS Enrolled
11121 W OKLAHOMA AVE, WEST ALLIS, WI 53227(262) 754-5912 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 18, 2022, Jan 14, 2021, Oct 7, 2020 (3 updates tracked since 2020).

About Audra-jane Twidwell Lpc NPPES

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

AUDRA-JANE TWIDWELL LPC (NPI 1831796283) is an individual professional provider in West Allis, Wisconsin, licensed in Wisconsin (7013) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Milwaukee, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1831796283
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAUDRA-JANE TWIDWELLCredential: LPC
Location Address11121 W OKLAHOMA AVEWest Allis, WI 53227-4033
Mailing Address2625 N 70th StWauwatosa, WI 53213-1325
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 7, 2020
Last NPPES UpdateJuly 29, 20253 updates tracked since enumeration
NPPES CertifiedJuly 29, 2025
NPI 1831796283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in WI · 7013
11121 W OKLAHOMA AVE, West Allis, WI 53227

Secondary Practice Location 1

Location 18901 W Capitol DrMilwaukee, WI 53222-1706 · Phone (414) 326-5458

Accepted Insurance

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-jane Twidwell Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234637547
PECOS Enrollment IDI20250806004461
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 8

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

Allergy & Immunology
11121 W OKLAHOMA AVE
WEST ALLIS, WI 53227
Counselor (Professional)
11121 W OKLAHOMA AVE
WEST ALLIS, WI 53227
Social Worker (Clinical)
11121 W OKLAHOMA AVE
WEST ALLIS, WI 53227
Counselor (Mental Health)
11121 W OKLAHOMA AVE
WEST ALLIS, WI 53227
Social Worker
11121 W OKLAHOMA AVE
WEST ALLIS, WI 53227
Counselor (Addiction (Substance Use Disorder))
11121 W OKLAHOMA AVE
WEST ALLIS, WI 53227
Clinic/Center (Mental Health (Including Community Mental Health Center))
11121 W OKLAHOMA AVE
WEST ALLIS, WI 53227
Counselor
11121 W OKLAHOMA AVE
WEST ALLIS, WI 53227

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831796283, enumerated as an "individual" on October 07, 2020.

The provider is located at 11121 W OKLAHOMA AVE WEST ALLIS, WI 53227 and the phone number is (262) 754-5912.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, CareSource. Please consult your insurance carrier or call the provider to verify.