AUDRA SMALLWOOD (MS, LPC, LBS) – Professional Counselor, NPI 1184334054

AUDRA SMALLWOOD (MS, LPC, LBS) is a healthcare provider. based in Mohrsville, Pennsylvania. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MS, LPC, LBS. They hold a License No. PC019144 (PA). The NPI Number for AUDRA SMALLWOOD (MS, LPC, LBS) is 1184334054

Main info

Female
Sole Proprietor
16 Years Of Experience
Name
AUDRA SMALLWOOD (MS, LPC, LBS)
NPI
1184334054
Phone
(484) 272-2604
Address
385 MAIN ST
Enumeration Date
1 December 2022
Last Update Date
5 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
1951890078
Professional Enrollment ID
I20251029003002
Address ID
PA195418841MO385XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

2,581 MENTAL HEALTH COUNSELOR in PA

Provider Addresses for AUDRA SMALLWOOD (MS, LPC, LBS)

  • 385 MAIN ST

    MOHRSVILLE, PA 195418841

    Phone: (484) 272-2604

    Type: Mailing

  • 1103 ROCKY RD STE 202

    WEST LAWN, PA 196091166

    Phone: (484) 272-2604

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-29

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251029003002IMental Health CounselorPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19541)

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Reviews

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Frequently asked questions

Is there an official ID for AUDRA SMALLWOOD (MS, LPC, LBS) in U.S. healthcare records?
The official identifier for AUDRA SMALLWOOD (MS, LPC, LBS) is NPI 1184334054.
Is AUDRA SMALLWOOD (MS, LPC, LBS) shown as active in public data?
Registry records indicate AUDRA SMALLWOOD (MS, LPC, LBS) maintains an active NPI.
What kind of doctor is AUDRA SMALLWOOD (MS, LPC, LBS)?
AUDRA SMALLWOOD (MS, LPC, LBS) is associated with Professional Counselor in the directory — Clinical services aligned with this taxonomy classification.
Is AUDRA SMALLWOOD (MS, LPC, LBS) located near Mohrsville?
AUDRA SMALLWOOD (MS, LPC, LBS) currently maps to Mohrsville, Pennsylvania in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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