AMANDA JERVIS MS
NPI 1225607450
Counselor - Mental Health in Philadelphia, PA

Active since June 22, 2021PECOS Enrolled
475 SPRING LN, PHILADELPHIA, PA 19128(215) 482-5353 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amanda Jervis Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA JERVIS MS (NPI 1225607450) is an individual mental health provider in Philadelphia, Pennsylvania and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1225607450
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA JERVISCredential: MS
Location Address475 SPRING LNPhiladelphia, PA 19128-3918
Mailing Address475 Spring LnPhiladelphia, PA 19128-3918
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 22, 2021
NPPES CertifiedJune 22, 2021
NPI 1225607450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
475 SPRING LN, Philadelphia, PA 19128

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Amanda Jervis Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42785487
PECOS Enrollment IDI20260414000003
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
475 SPRING LN
PHILADELPHIA, PA 19128
Social Worker (Clinical)
475 SPRING LN
PHILADELPHIA, PA 19128
Occupational Therapist (Mental Health)
475 SPRING LN
PHILADELPHIA, PA 19128
Dietitian, Registered
475 SPRING LN
PHILADELPHIA, PA 19128
Occupational Therapist
475 SPRING LN
PHILADELPHIA, PA 19128
Registered Nurse (Psychiatric/Mental Health)
475 SPRING LN
PHILADELPHIA, PA 19128
Dietitian, Registered
475 SPRING LN
PHILADELPHIA, PA 19128
Registered Nurse
475 SPRING LN
PHILADELPHIA, PA 19128

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Jervis's NPI number?

The NPI number for Amanda Jervis is 1225607450. It was assigned to this individual provider in the NPPES registry on June 22, 2021.

Where is Amanda Jervis located?

Amanda Jervis practices at 475 Spring Ln, Philadelphia, PA 19128. The listed phone number is (215) 482-5353.

What is Amanda Jervis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Amanda Jervis enrolled in Medicare?

Yes. Amanda Jervis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Jervis was last updated on June 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.