Terri Fedorenko

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2463 Issued in MN

Practice address

2025 Stearns Way Ste 111
Saint Cloud, MN 56303-1275

Phone

(320) 253-3540

NPI assigned

Oct 23, 2015

Last updated

Nov 6, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

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.

• Center for Family Counseling Inc

  • Adult Mental Health Clinic/Center
  • Saint Cloud, MN
  • NPI 1588731327
  Medicare reassignment NPD
• Hello Inspired

  • Mental Health Counselor
  • Rice, MN
  • NPI 1639939341
  NPD Authorized official
• Arizona Family Trauma Center

  dba Family Trauma Center

  • Mental Health Counselor
  • Surprise, AZ
  • NPI 1528809589
  NPD

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1619349149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 9TH AVE N",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563771848",
            "telephone_number": "320-420-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 STEARNS WAY STE 111",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031275",
            "telephone_number": "320-253-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDORENKO",
        "first_name": "TERRI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Faybusovich, D.O
• Tara Leigh Featherston, RN
• Gwen N Feddema
• Melanie Ann Feddema, OTR/L
• Ralph E Fedor, M.D.
• James Joseph Feeney III
• Triniti Lyn Feldhege, CNP
• Eric Lester Felsch, PSY.D., LP
• Stephanie Ferguson, LADC
• Shaun Fernandes, MD

• Marriage & Family Therapist in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.