Jason Brent Fedeli, MA, LPC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

119538 Issued in AK

Practice address

9330 Vanguard Dr Ste 202
Anchorage, AK 99507-5393

Phone

(907) 202-2527

NPI assigned

Apr 5, 2013

Last updated

Dec 23, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jason Brent Fedeli Professional Counseling LLC

  • Mental Health Counselor
  • Anchorage, AK
  • NPI 1013676055
  Medicare reassignment NPD Authorized official
• Ge Family Services LLC

  dba GE Family Services

  • Multi-Specialty Clinic/Center
  • Anchorage, AK
  • NPI 1265174502

  Professional

  Medicare reassignment NPD
• Alaska Full Circle Counseling Solutions LLC

  • Community/Behavioral Health Agency
  • Wasilla, AK
  • NPI 1235558016
  NPD (past)

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1407199656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 VANGUARD DR STE 202",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995075393",
            "telephone_number": "907-202-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 VANGUARD DR STE 202",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995075393",
            "telephone_number": "907-202-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDELI",
        "first_name": "JASON",
        "middle_name": "BRENT",
        "name_prefix": "Mr.",
        "credential": "MA, LPC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-05",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "119538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fe's Assisted Living Home
• Donna A Fearey, ANP
• Jennifer Lynn Featherston
• Jeremy Featherston, LCSW
• Laya Corinn Fedele, LMT
• Shelley Lynn Federspiel
• Providence Feh
• Feh's Humanitarina LLC (Feh's Humanitarian LLC)
• Jerod Feight
• Ronald A Feigin, MD

• Professional Counselor in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Professional Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.