Donald E Fedor Ms,LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH1365 Issued in FL

Legal business name

DONALD E FEDOR MS,LMHC

Practice address

3565 E Suzie LN
Inverness, FL 34452-3250

Phone

(352) 344-4497

NPI assigned

Aug 22, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Valerie Fedor, SPOUSE

Title

RN

Phone

(352) 344-1337

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1245711894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3565 E SUZIE LN",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344523250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3565 E SUZIE LN",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344523250",
            "telephone_number": "352-344-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD E FEDOR MS,LMHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "FEDOR",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "352-344-1337",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SPOUSE"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH1365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Inverness, FL
• Providers in Inverness, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.