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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: October 18, 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
Phone(215) 482-5353
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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Jervis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

PA Behavioral Services
17 mi
Professional
814 HALDEMAN RD
Schwenksville, PA 19473
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3 clinicians in this Medicare group
NPI 1659946515 (267) 323-4590

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MRS. ERIN E WACHLIN BSN,RN
Registered Nurse
475 SPRING LN
PHILADELPHIA, PA 19128
Philadelphia County (215) 482-5353
JANET KRAUSS
Social Worker (Clinical)
475 SPRING LN
PHILADELPHIA, PA 19128
Philadelphia County (215) 453-5200
MRS. JACLYN ELIZABETH MACCHIONE MOT, OTR/L
Occupational Therapist (Mental Health)
475 SPRING LN
PHILADELPHIA, PA 19128
Philadelphia County (267) 350-5296
KELSEY SHRINER RDN
Dietitian, Registered
475 SPRING LN
PHILADELPHIA, PA 19128
Philadelphia County (215) 482-5353
KRISTEN VICTORIA PREMUS DROT, OTR/L
Occupational Therapist
475 SPRING LN
PHILADELPHIA, PA 19128
Philadelphia County (215) 482-5353
DR. ROBBI K. ALEXANDER PHD, RN
Registered Nurse (Psychiatric/Mental Health)
475 SPRING LN
PHILADELPHIA, PA 19128
Philadelphia County (215) 482-5353
SARAH BERTIN RD
Dietitian, Registered
475 SPRING LN
PHILADELPHIA, PA 19128
Philadelphia County (215) 254-1682
JENNIFER FITZGIBBON RN
Registered Nurse
475 SPRING LN
PHILADELPHIA, PA 19128
Philadelphia County (215) 482-5353

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.

Which organization bills Medicare for Amanda Jervis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Jervis reassigns Medicare benefits to PA Behavioral Services (Schwenksville, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Jervis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Jervis was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.