| Victim Services Inc. | |
|
638 Ferndale Ave Johnstown PA 15905-3946 | |
| (814) 288-4961 | |
| (814) 288-3904 |
| Full Name | Victim Services Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 638 Ferndale Ave, Johnstown, Pennsylvania |
| Authorized Official Name and Position | Michael Oliver (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8142884961 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Victim Services Inc. 638 Ferndale Ave Johnstown PA 15905-3946 Ph: (814) 288-4961 | Victim Services Inc. 638 Ferndale Ave Johnstown PA 15905-3946 Ph: (814) 288-4961 |
| NPI Number | 1174914717 |
|---|---|
| Provider Enumeration Date | 02/17/2015 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 7113287152 |
|---|---|
| Medicare Enrollment ID | O20180212002072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174914717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jessica M Hayes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114394434 PECOS PAC ID: 0840571295 Enrollment ID: I20161227001180 |
| Provider Name | Tara Townsend |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194261909 PECOS PAC ID: 6002224391 Enrollment ID: I20210427001157 |
| Provider Name | Amanda Irwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124613476 PECOS PAC ID: 6002261997 Enrollment ID: I20231012002203 |
| Provider Name | Natasha Fox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659772655 PECOS PAC ID: 7719321876 Enrollment ID: I20240215004476 |
| Provider Name | Gabrielle Kull |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710534193 PECOS PAC ID: 1850744087 Enrollment ID: I20240417001874 |
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