Jason Brent Fedeli, MA, LPC-S
Counselor, Professional in Anchorage, AK. Individual provider (NPI-1).
NPI number1407199656
StatusActive
Last updated in NPPESDec 23, 2024
Details
- NPI
- 1407199656
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jason Brent Fedeli
- Credential
- MA, LPC-S
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 5, 2013
- Certification date
- Dec 23, 2024
- Last updated
- Dec 23, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 119538 | AK | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
9330 Vanguard Dr Ste 202Anchorage, AK 99507-5393
Phone 907-202-2527
Mailing address
9330 Vanguard Dr Ste 202Anchorage, AK 99507-5393
Phone 907-202-2527
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