Individual provider Active NPI

Mollie Rae Norris

  • Mental Health Counselor
  • East Stroudsburg, PA
National Provider Identifier
1407607088
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
293 Craigs Meadow Rd
East Stroudsburg, PA 18301-7723
Phone
(570) 269-3247
NPI assigned
Apr 1, 2024
Last updated
Apr 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

293 Craigs Meadow Rd
East Stroudsburg, PA 18301-7723

Mailing address

293 Craigs Meadow Rd
East Stroudsburg, PA 18301-7723
Phone (570) 269-3247

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250618002480 PA Practitioner - Mental Health Counselor 5890206528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Geropsych, LLCGroup PAC ID 2062659584, 17 clinicians

Practice addresses (Care Compare)

428 S 7TH St
Lehighton, PA 18235-1824
Phone (610) 900-4234

4379 Easton Ave
101 Valley Geropsych
Bethlehem, PA 18020-1483
Phone (610) 625-1486

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Geropsych, LLC CurrentSince May 21, 2025 Accepting new patients

Locations

4379 Easton Ave
#101
Bethlehem, PA 18020
Phone (610) 625-1486

428 S 7th St
Lehighton, PA 18235
Phone (610) 401-3559

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1407607088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 CRAIGS MEADOW RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183017723",
            "telephone_number": "570-269-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 CRAIGS MEADOW RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183017723",
            "telephone_number": "570-269-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "MOLLIE",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.