Individual provider Active NPI

Valerie Lynn Nolder, LPC, MFT

  • Professional Counselor
  • Emporium, PA
National Provider Identifier
1043935646
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC014907 Issued in PA
Practice address
28 E 3Rd St
Emporium, PA 15834-1406
Phone
(814) 486-0217
Fax
(814) 486-2442
NPI assigned
Oct 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC014907 PA Primary

Addresses

Primary practice location

28 E 3Rd St
Emporium, PA 15834-1406

Mailing address

167 E 4TH St
Emporium, PA 15834-1444
Phone (970) 403-4916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Jan 7, 2025 Accepting new patients
Brookville Behavioral Health Inc. PastSince Oct 9, 2022 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

Organizations & group practices 2

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": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1043935646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 E 4TH ST",
            "city": "EMPORIUM",
            "state": "PA",
            "postal_code": "158341444",
            "telephone_number": "970-403-4916",
            "fax_number": "814-486-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 E 3RD ST",
            "city": "EMPORIUM",
            "state": "PA",
            "postal_code": "158341406",
            "telephone_number": "814-486-0217",
            "fax_number": "814-486-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLDER",
        "first_name": "VALERIE",
        "middle_name": "LYNN",
        "credential": "LPC, MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC014907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporium, PA

Sources for this page

Verify at the official NPI Registry.