Organization Active NPI

Victim Services Inc.

  • Community/Behavioral Health Agency
  • Johnstown, PA
National Provider Identifier
1174914717
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
VICTIM SERVICES INC.
Practice address
307 Vine St
Johnstown, PA 15901-2906
Phone
(814) 288-4961
Fax
(814) 809-8479
NPI assigned
Feb 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Authorized official

Name
Mr. Michael Oliver, MA
Title
Chief Executive Officer
Phone
(814) 288-4961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

307 Vine St
Johnstown, PA 15901-2906

Mailing address

307 Vine St
Johnstown, PA 15901-2906
Phone (814) 288-4961

Other practice location 1

433 W Patriot St
Somerset, PA 15501-1529
Phone (814) 288-4961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180212002072 PA Part B Supplier - Clinic/Group Practice 7113287152 Receives reassigned benefits from 5 practitioners
Practice locations: Johnstown, PA; Somerset, PA

National Provider Directory

National Provider Directory

Locations

638 Ferndale Ave
Johnstown, PA 15905
Phone (814) 288-2288

218 N Kimberly Ave
Ste 4
Somerset, PA 15501
Phone (814) 288-4961

433 W Patriot St
Somerset, PA 15501
Phone (814) 288-4961

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1174914717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 VINE ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159012906",
            "telephone_number": "814-288-4961",
            "fax_number": "814-288-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 VINE ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159012906",
            "telephone_number": "814-288-4961",
            "fax_number": "814-809-8479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 W Patriot St",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "PA",
            "postal_code": "155011529",
            "country_code": "US",
            "telephone_number": "814-288-4961",
            "fax_number": "814-809-8479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VICTIM SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "814-288-4961",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.