Organization Active NPI

Ashley Fedor ,LPC, LLC

  • Mental Health Counselor
  • Erie, PA
National Provider Identifier
1245756949
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC006335 Issued in PA
Legal business name
ASHLEY FEDOR ,LPC, LLC
Practice address
1946 W 26TH St Ste 19B
Erie, PA 16508-1165
Phone
(814) 397-3976
Fax
(814) 480-0427
NPI assigned
Aug 15, 2017
Last updated
Apr 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Authorized official

Name
Ashley Fedor, LPC, NCCNPI 1396094884
Title
Licensed Profesional Therapist
Phone
(814) 397-3976

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC006335 PA Primary

Addresses

Primary practice location

1946 W 26TH St Ste 19B
Erie, PA 16508-1165

Mailing address

3630 Oakwood St
Erie, PA 16508-2257

National Provider Directory

National Provider Directory

Locations

1946 W 26th St
Ste 19B
Erie, PA 16508
Phone (814) 397-3976

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1245756949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 OAKWOOD ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1946 W 26TH ST STE 19B",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165081165",
            "telephone_number": "814-397-3976",
            "fax_number": "814-480-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY FEDOR ,LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "FEDOR",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "LICENSED PROFESIONAL THERAPIST",
        "authorized_official_telephone_number": "814-397-3976",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC006335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.