Individual provider Active NPI

Cami A Hrisak, MSSA, LCSW

  • Mental Health Counselor
  • Shippenville, PA
National Provider Identifier
1720115157
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CW018325 Issued in PA
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

Updated by the provider on May 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
103037811MedicaidPA
102380289-0009MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250523002064 PA Practitioner - Clinical Social Worker 7012438484 Reassigns benefits to 1 organization

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
Hope Center for Counseling and Mental Wellness, Inc.Group PAC ID 6204357676, 2 clinicians

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

OrganizationSpecialtyStatusNew patients
Hope Center for Counseling and Mental Wellness, Inc. Mental Health CurrentSince Apr 14, 2025 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.

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

Sources for this page

Verify at the official NPI Registry.