| Cami A Hrisak, MSSA, LCSW | |
|
9664 Route 322, Shippenville, PA 16254-8734 | |
| (814) 227-2232 | |
| (814) 297-2044 |
| Full Name | Cami A Hrisak |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 9664 Route 322, Shippenville, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720115157 | NPI | - | NPPES |
| 103037811 | Medicaid | PA | |
| 102380289-0009 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CW018325 (Pennsylvania) | Primary |
| Entity Name | Hope Center For Counseling And Mental Wellness, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629439856 PECOS PAC ID: 6204357676 Enrollment ID: O20250523001878 |
| Mailing Address | Practice Location Address |
|---|---|
| Cami A Hrisak, MSSA, LCSW 9664 Route 322, Shippenville, PA 16254-8734 Ph: (814) 227-2232 | Cami A Hrisak, MSSA, LCSW 9664 Route 322, Shippenville, PA 16254-8734 Ph: (814) 227-2232 |
Mr. Christopher Michael Johnston, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 20231 Paint Blvd, Shippenville, PA 16254 Phone: 814-226-1159 | |
Nathanial Ryan Tyger, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9664 Route 322, Shippenville, PA 16254 Phone: 814-227-2232 Fax: 814-297-2044 | |
Derek Francis Oberlander, Counselor Medicare: Medicare Enrolled Practice Location: 9664 Route 322, Shippenville, PA 16254 Phone: 814-227-2232 |