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ROSE FEDECHKO LPC/COTA
NPI 1104600758
Counselor - Professional in Mantua, NJ

Active since August 23, 2023PECOS EnrolledAccepts Medicare Assignment
550 BRIDGETON PIKE STE 2, MANTUA, NJ 08051(856) 746-4244 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2026, Aug 23, 2023 (2 updates tracked since 2023).

About Rose Fedechko Lpc/cota NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSE FEDECHKO LPC/COTA (NPI 1104600758) is an individual professional provider in Mantua, New Jersey, licensed in New Jersey (37PC01223700) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104600758
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameROSE FEDECHKOCredential: LPC/COTA
Location Address550 BRIDGETON PIKE STE 2Mantua, NJ 08051-1318
Mailing AddressPo Box 366Mount Royal, NJ 08061-0366 · (856) 746-4244
Phone(856) 746-4244
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 23, 2023
Last NPPES UpdateApril 9, 20262 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
✔ NPI 1104600758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NJ · 37PC01223700
Also ListedOccupational Therapy AssistantTaxonomy 224Z00000X · License 46TA09094500 (NJ)
550 BRIDGETON PIKE STE 2, Mantua, NJ 08051
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rose Fedechko Lpc/cota is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305320946
PECOS Enrollment IDI20260320002307
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rose Fedechko's NPI number?

The NPI number for Rose Fedechko is 1104600758. It was assigned to this individual provider in the NPPES registry on August 23, 2023.

Where is Rose Fedechko located?

Rose Fedechko practices at 550 Bridgeton Pike Ste 2, Mantua, NJ 08051. The listed phone number is (856) 746-4244.

What is Rose Fedechko's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Rose Fedechko enrolled in Medicare?

Yes. Rose Fedechko is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Rose Fedechko was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.