Individual provider Active NPI

Eric Joseph Rusiewicz

  • Professional Counselor
  • Bethlehem, PA
National Provider Identifier
1538036967
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC019481 Issued in PA
Practice address
95 Highland Ave Ste 301
Bethlehem, PA 18017-9435
Phone
(610) 849-0413
NPI assigned
Oct 21, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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 PC019481 PA Primary

Addresses

Primary practice location

95 Highland Ave Ste 301
Bethlehem, PA 18017-9435

Mailing address

3301 Doral CT
East Stroudsburg, PA 18302-6661
Phone (610) 500-4364

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
I20251202003825 PA Practitioner - Mental Health Counselor 9133612732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

95 Highland Ave
Suite 301
Bethlehem, PA 18017-9432

95 Highland Ave
Suite 301
Bethlehem, PA 18017-9435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC019481PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Intentional Counseling & Wellness, LLC Professional CurrentSince Oct 28, 2025 Accepting new patients

Locations

95 Highland Ave
Ste 301
Bethlehem, PA 18017
Phone (610) 625-1577

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": "1761004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1538036967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 DORAL CT",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183026661",
            "telephone_number": "610-500-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 HIGHLAND AVE STE 301",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180179435",
            "telephone_number": "610-849-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSIEWICZ",
        "first_name": "ERIC",
        "middle_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC019481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.