Active NPI
Cami A Hrisak, MSSA, LCSW
- Mental Health Counselor
- Shippenville, PA
National Provider Identifier
1720115157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CW018325
- Practice address
- 9664 Route 322
Shippenville, PA 16254-8734 - Phone
- (814) 227-2232
- Fax
- (814) 297-2044
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CW018325 | PA | 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 practice location 1
10956 Route 322
Shippenville, PA 16254-4838
Phone (814) 227-2232
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103037811 | Medicaid | PA | |
| 102380289-0009 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9664 Route 322
Shippenville, PA 16254-8734
Phone (814) 227-2232
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Center for Counseling and Mental Wellness, Inc. | Mental Health | Current | Accepting new patients |
Locations
9664 Route 322
Shippenville, PA 16254
Phone (814) 227-2232
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Shippenville, PA
- NPI 1629439856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746057600000",
"number": "1720115157",
"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": "814-297-2044"
},
{
"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": "814-297-2044"
}
],
"practiceLocations": [
{
"address_1": "10956 Route 322",
"address_purpose": "LOCATION",
"city": "Shippenville",
"state": "PA",
"postal_code": "162544838",
"country_code": "US",
"telephone_number": "814-227-2232",
"fax_number": "814-227-2401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HRISAK",
"first_name": "CAMI",
"middle_name": "A",
"credential": "MSSA, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "CW018325",
"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
- Courtney Beth Hartle, LSW
- Rusty Hartzell
- Health Services of Clarion Inc
- Health Services of Clarion, Inc.
- Hope Center for Counseling and Mental Wellness, Inc.
- Robert Michael Hrisak, D.C.
- Christopher Michael Johnston, LSW
- Janice Marie Kenneson, D.O.
- Ashley Nicole Kunselman, D.O.
- Danielle M Leach, MS, MSW, LSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.