Organization Active NPI

Hope Center for Counseling and Mental Wellness, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shippenville, PA
National Provider Identifier
1629439856
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HOPE CENTER FOR COUNSELING AND MENTAL WELLNESS, INC.
Practice address
9664 Route 322
Shippenville, PA 16254-8734
Phone
(814) 227-2232
Fax
(814) 227-2401
NPI assigned
Mar 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Cami Ann Hrisak, LCSWNPI 1720115157
Title
President
Phone
(814) 227-2232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

9664 Route 322
Shippenville, PA 16254-8734

Mailing address

9664 Route 322
Shippenville, PA 16254-8734
Phone (814) 227-2232

Other identifiers 2

IdentifierTypeStateIssuer
103037811MedicaidPA
102380289-0009MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250523001878 PA Part B Supplier - Clinic/Group Practice 6204357676 Receives reassigned benefits from 2 practitioners
Practice locations: Shippenville, PA

National Provider Directory

National Provider Directory

Locations

9664 Route 322
Shippenville, PA 16254
Phone (814) 227-2232

Practitioners & affiliated clinicians

Practitioners 5

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": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1629439856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9664 ROUTE 322",
            "city": "SHIPPENVILLE",
            "state": "PA",
            "postal_code": "162548734",
            "telephone_number": "814-227-2232",
            "fax_number": "814-227-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9664 ROUTE 322",
            "city": "SHIPPENVILLE",
            "state": "PA",
            "postal_code": "162548734",
            "telephone_number": "814-227-2232",
            "fax_number": "814-227-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE CENTER FOR COUNSELING AND MENTAL WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "HRISAK",
        "authorized_official_first_name": "CAMI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-227-2232",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103037811",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102380289-0009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shippenville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.