Savannah Lea Fedorovich

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH25135 Issued in FL

Practice address

860 US 1 Ste 206
North Palm Beach, FL 33408-3865

Phone

(561) 221-0080

NPI assigned

Feb 18, 2021

Last updated

Apr 1, 2025By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 24, 2025 through Apr 24, 2027

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

• Deeply Rooted Psychotherapy, LLC

  • Mental Health Counselor
  • North Palm Beach, FL
  • NPI 1801593348
  NPD

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1477146736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 US 1 STE 206",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083865",
            "telephone_number": "561-221-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 US 1 STE 206",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083865",
            "telephone_number": "561-221-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDOROVICH",
        "first_name": "SAVANNAH",
        "middle_name": "LEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH23727",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH25135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ez Diabetes Management
• Faith Lutheran Church of N Palm BCH (New Day Adult Care Center)
• Family First Outpatient Services (Family First Adolescent Services)
• Barbara Farnan, LMHC
• Rose Esther Farrah, DMD
• Melissa Feingold
• Figler Family Chiropractic PA
• Mark David Figler, DC
• Fission Diagnostics LLC
• Jquan Rashad Fletcher

• Mental Health Counselor in North Palm Beach, FL
• Providers in North Palm Beach, 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 Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.