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Tanya Mikesic , MABS

Physician β€’ Johnstown, PA

Deactivated NPI 1770031817 Deactivated in NPPES Female Practitioner
Practice location in NPPES

131 Market St
Johnstown, PA 159011628

Phone: 8145352277

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of June 04, 2026; the reason is not published. The records below are historical. They do not show whether Tanya Mikesic currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date September 19, 2016
NPI Deactivation Date June 04, 2026
NPI Active Period 2016 – 2026

Practice Location & Contact Primary Location

Practice Address

131 Market St

Johnstown, PA 159011628

Telephone 8145352277
Organization at the Same NPPES Address or Phone
Alternative Community Resource Program, Inc. Facility NPI 1942398839

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Johnstown and Pennsylvania

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Community/Behavioral Health Primary Specialty

NUCC Taxonomy Code: 251S00000X

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Pennsylvania Department of State Licensing.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Dr. Tammy Dunn , DNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1407396146

Doctor of Nursing Practice

Kelly Mateljan , LCSW

Social Worker - Clinical

NPI 1215902762

Licensed Clinical Social Worker

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated June 04, 2026

NPPES lists this NPI as deactivated as of June 04, 2026; the reason is not published.

βœ…
NPI Profile Active September 19, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 19, 2016

Registered at 131 MARKET ST, JOHNSTOWN, PA 159011628 (Tel: 8145352277)

πŸ“
Business Mailing Address (Initial Record) September 19, 2016

Registered at 131 MARKET ST, JOHNSTOWN, PA 159011628 (Tel: 8145352277)

πŸ‘€
Provider Name / Credentials (Initial Record) September 19, 2016

Recorded as TANYA MIKESIC, M.A. B.S.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2016

Community/Behavioral Health

🟒
Initial NPI Registration & Enumeration September 19, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1770031817
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 19, 2016
Last Update: September 19, 2016
Deactivation Date: June 04, 2026

Mailing Address

131 Market St

Johnstown, PA 159011628

Phone: 8145352277

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.