Sarah Lizabeth Fedishen, LPCC, LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ACD.0001597 Issued in CO

Practice address

1205 Catherine CT
Carbondale, CO 81623-1897

Phone

(970) 355-4409

NPI assigned

Sep 26, 2022

Last updated

Sep 26, 2022By 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

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1659094514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 CATHERINE CT",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816231897",
            "telephone_number": "970-355-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 CATHERINE CT",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816231897",
            "telephone_number": "970-355-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDISHEN",
        "first_name": "SARAH",
        "middle_name": "LIZABETH",
        "credential": "LPCC, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0001597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayle Embrey, MA, LPC, CACII
• Ryan Richard Erickson, ATC
• Eugene a Covello DDS PC
• Caitlin Evans
• Kristen Fawcett, PHARMD
• Joseph Feret, DC
• Lisa Ann Fitzwilliams, D.C., C.N.
• Forever Fit of Steamboat Springs
• Forever Fit of Steamboat Springs
• Kenda Lee Fort, PHARMD

• Addiction (Substance Use Disorder) Counselor in Carbondale, CO
• Providers in Carbondale, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.