Active NPI
Amy J Rudisill, MHS
- Mental Health Counselor
- Allentown, PA
National Provider Identifier
1376678409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC004900
- Practice address
- 1005 Brookside Rd Ste 80
Allentown, PA 18106-9023 - Phone
- (484) 867-7078
- Fax
- (833) 381-0909
- NPI assigned
- Feb 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | PC004900 | PA | Primary |
Addresses
Primary practice location
1005 Brookside Rd Ste 80
Allentown, PA 18106-9023
Mailing address
1005 Brookside Rd Ste 80
Allentown, PA 18106-9023
Phone (484) 867-7078
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, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1005 Brookside Rd
Suite 80
Allentown, PA 18106-9026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC004900 | PA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recover Psychotherapy & Counseling Servicesllc | Current | Accepting new patients |
Locations
1005 Brookside Rd
Ste 80
Allentown, PA 18106
Phone (484) 867-7078
4403 Birkland Pl
Tatamy Borough, PA 18045
Phone (215) 469-1554
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.
-
- Professional Counselor
- Allentown, PA
- NPI 1558178541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1376678409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 BROOKSIDE RD STE 80",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181069023",
"telephone_number": "484-867-7078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 BROOKSIDE RD STE 80",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181069023",
"telephone_number": "484-867-7078",
"fax_number": "833-381-0909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDISILL",
"first_name": "AMY",
"middle_name": "J",
"credential": "MHS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2025-08-08",
"certification_date": "2025-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC004900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.