Individual provider Active NPI

Cory A Sockriter

  • Mental Health Counselor
  • Glen Mills, PA
National Provider Identifier
1770094096
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC011794 Issued in PA
Practice address
245 Bethel Rd
Glen Mills, PA 19342-1561
Phone
(610) 938-9000
NPI assigned
Oct 13, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC011794 PA Primary
Mental Health Counselor 101YM0800X 37PC00915700 NJ
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 83410 TX

Addresses

Primary practice location

245 Bethel Rd
Glen Mills, PA 19342-1561

Mailing address

609 Herefordshire LN
Allen, TX 75002-5831
Phone (610) 291-2836

Other identifiers 1

IdentifierTypeStateIssuer
231637191MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37PC00915700NJMDMental Health Counselor
PC011794PAMDMental Health Counselor
83410TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1770094096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 HEREFORDSHIRE LN",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750025831",
            "telephone_number": "610-291-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 BETHEL RD",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421561",
            "telephone_number": "610-938-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOCKRITER",
        "first_name": "CORY",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-13",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC011794",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00915700",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "83410",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231637191",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Mills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.