MRS. AMANDA FEDOR
NPI 1053196501
Counselor in Medina, OH
- Individual
- Female
- Counselor
About AMANDA FEDOR
This page provides the complete NPI Profile along with additional information for Amanda Fedor, a provider established in Medina, Ohio with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1053196501 assigned on August 2023. The practitioner's primary taxonomy code is 101Y00000X with license number C2506585-TRNE (OH). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1053196501 Verify this NPI
- Provider Name
- MRS. AMANDA FEDOR
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 246 NORTHLAND DR MEDINA, OH 44256
- Location Phone
- (330) 241-7895
- Mailing Address
- 434 EASTLAND RD BEREA, OH 44017
- Mailing Phone
- (440) 234-2006
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-31-2023
- Last Update Date
- 03-25-2025
- Code Navigator
Location Map
Secondary Locations
- 3500 Carnegie Ave
Cleveland, OH 44115
(440) 234-2006
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- C2506585-TRNE
- License State
- OH
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | |
| 2 | 172V00000X | Other Service Providers | Community Health Worker |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MEDINA, OH 44256
MEDINA, OH 44256
MEDINA, OH 44256
MEDINA, OH 44256
MEDINA, OH 44256
MEDINA, OH 44256
MEDINA, OH 44256
MEDINA, OH 44256
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053196501, enumerated as an "individual" on August 31, 2023.
The provider is located at 246 NORTHLAND DR MEDINA, OH 44256 and the phone number is (330) 241-7895.
Counselor with taxonomy code 101Y00000X.