Kayla Fedorchuk, MA, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4864 Issued in NH

Practice address

149 Hanover St
Manchester, NH 03101-2235

Phone

(603) 696-4872

NPI assigned

Jun 7, 2018

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1710470570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 HANOVER ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031012235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 HANOVER ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031012235",
            "telephone_number": "603-696-4872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "149 Hanover St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031012235",
            "country_code": "US",
            "telephone_number": "603-696-4872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEDORCHUK",
        "first_name": "KAYLA",
        "credential": "MA, LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "4864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Feaster, BS
• Michael Fecteau, R.PH.
• Michael Stephen Fedder, M.D.
• Robert Feder, M.D.
• Kristin Fedorchak
• Feel at Home Care LLC
• Robert S Feins, M.D.
• Alexa Felix, BA
• Magalie Felix, BA
• Victoria I Felkl, MD

• Mental Health Counselor in Manchester, NH
• Providers in Manchester, NH by specialty
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.