Cindy Caryol Tabor-Fedele, SUD COUNSELOR

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

14647 Issued in CA

Practice address

1204 W Shaw Ave # 102
Fresno, CA 93711-3706

Phone

(559) 681-1947

NPI assigned

Jan 19, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Cindy C Fedele Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Awakened Hearts Foundation

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1497685044

  Addiction (Substance Use Disorder)

  NPD
• Central California Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fresno, CA
  • NPI 1295972446
  NPD (past)

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1295440758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 W SHAW AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113706",
            "telephone_number": "559-681-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 W SHAW AVE # 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113706",
            "telephone_number": "559-681-1947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4576 E Shields Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937267220",
            "country_code": "US",
            "telephone_number": "559-240-9206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2350 W Shaw Ave Ste 123",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937113412",
            "country_code": "US",
            "telephone_number": "559-365-0580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6641 N Marty Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937110824",
            "country_code": "US",
            "telephone_number": "559-978-1690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABOR-FEDELE",
        "first_name": "CINDY",
        "middle_name": "CARYOL",
        "name_prefix": "Mrs.",
        "credential": "SUD COUNSELOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-19",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "33263",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "14647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "FEDELE",
            "middle_name": "C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Peter T Ta, PHARM.D.
• Irene Tabaloc
• Vajeeha Tabassum, M.D
• Kelly Kagawa Tabay, LCSW
• Gavin T Tablada, CP
• Kalyn Tachovaka
• Melissa J Tacia
• Sarah Tackett, ATC
• Ann Camille Tadas, NP
• Raquel Taddei

• Addiction (Substance Use Disorder) Counselor in Fresno, CA
• Providers in Fresno, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.