Audra A. Swanson, MA ED, LPCC-S, LICDC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E2055 Issued in OH

Practice address

4450 Belden Village St NW Ste 606
Canton, OH 44718-2552

Phone

(330) 305-9696

Fax

(330) 305-9292

NPI assigned

Aug 12, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: audraswanson@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1649282260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 BELDEN VILLAGE ST NW STE 606",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182552",
            "telephone_number": "330-305-9696",
            "fax_number": "303-059-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 BELDEN VILLAGE ST NW STE 606",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182552",
            "telephone_number": "330-305-9696",
            "fax_number": "330-305-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "AUDRA",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "MA ED, LPCC-S, LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E2055",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "991462- LICDC",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1265743991",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Dale Sussky, MA CCC-SLP
• Sally Sutterfield
• Jennifer K Swaggard, LISW-S
• Rebekah Swango
• Stacy Swank
• Erica Elizabeth Swartz, CNP
• Jessica Elizabeth Swartz, MSN, APRN, FNP-C
• Kaylin Elizabeth Swartz
• Sharona Sweat, CNP
• Kirby L Sweitzer, MD

• Professional Counselor in Canton, OH
• Providers in Canton, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.