Active NPI
Cory A Sockriter
- Mental Health Counselor
- Glen Mills, PA
National Provider Identifier
1770094096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC011794
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 231637191 | Medicaid | PA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00915700 | NJ | MD | Mental Health Counselor |
| PC011794 | PA | MD | Mental Health Counselor |
| 83410 | TX | MD | Mental 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.