Organization Active NPI

Leave the Light on Counseling LLC

  • Professional Counselor
  • West Lawn, PA
National Provider Identifier
1841006046
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
LEAVE THE LIGHT ON COUNSELING LLC
Practice address
1103 Rocky Rd Ste 202
West Lawn, PA 19609-1166
Phone
(484) 272-2604
NPI assigned
Dec 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Authorized official

Name
Audra Smallwood, MS, LPC, LBSNPI 1184334054
Title
Ceo / LPC
Phone
(484) 272-2604

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251029002934 PA Part B Supplier - Clinic/Group Practice 0042709164 Receives reassigned benefits from 1 practitioner
Practice locations: West Lawn, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1841006046",
    "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": {
        "organization_name": "LEAVE THE LIGHT ON COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "SMALLWOOD",
        "authorized_official_first_name": "AUDRA",
        "authorized_official_title_or_position": "CEO / LPC",
        "authorized_official_telephone_number": "484-272-2604",
        "authorized_official_credential": "MS, LPC, LBS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.