Active NPI
Audra Smallwood, MS, LPC, LBS
- Professional Counselor
- West Lawn, PA
National Provider Identifier
1184334054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC019144
- Practice address
- 1103 Rocky Rd Ste 202
West Lawn, PA 19609-1166 - Phone
- (484) 272-2604
- NPI assigned
- Dec 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC019144 | PA | Primary |
Addresses
Primary practice location
1103 Rocky Rd Ste 202
West Lawn, PA 19609-1166
Mailing address
385 Main St
Mohrsville, PA 19541-8841
Phone (484) 272-2604
Other names 1
- Audra Beck
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
385 Main St
Mohrsville, PA 19541-8841
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC019144 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leave the Light on Counseling LLC | Mental Health | Current | Accepting new patients |
Locations
1103 Rocky Rd
Ste 202
West Lawn, PA 19609
Phone (484) 272-2604
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1184334054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 MAIN ST",
"city": "MOHRSVILLE",
"state": "PA",
"postal_code": "195418841",
"telephone_number": "484-272-2604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 ROCKY RD STE 202",
"city": "WEST LAWN",
"state": "PA",
"postal_code": "196091166",
"telephone_number": "484-272-2604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALLWOOD",
"first_name": "AUDRA",
"credential": "MS, LPC, LBS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-01",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC019144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AUDRA",
"last_name": "BECK",
"credential": "MS, LBS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in West Lawn, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.