Active NPI
Eric Joseph Rusiewicz
- Professional Counselor
- Bethlehem, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC019481
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC019481 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intentional Counseling & Wellness, LLC | Professional | Current | 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.
-
dba Intentional Counseling & Wellness
- Mental Health Counselor
- Bethlehem, PA
- NPI 1932928702
Professional
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.