ANGELICA FEDAK MA, LPCC, ADDC
NPI 1427745504
Counselor - Mental Health in Longmont, CO
About Angelica Fedak Ma, Lpcc, Addc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELICA FEDAK MA, LPCC, ADDC (NPI 1427745504) is an individual mental health provider in Longmont, Colorado, licensed in Colorado (LPCC.0019010) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Angelica Fedak Ma, Lpcc, Addc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Angelica Fedak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Collins, CO 80526
- Reassigned Medicare billing, Colorado enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Angelica Fedak's NPI number?
The NPI number for Angelica Fedak is 1427745504. It was assigned to this individual provider in the NPPES registry on April 19, 2023.
Where is Angelica Fedak located?
Angelica Fedak practices at 649 Robert St, Longmont, CO 80503. The listed phone number is (720) 526-3284.
What is Angelica Fedak's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Angelica Fedak enrolled in Medicare?
Yes. Angelica Fedak is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Angelica Fedak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Angelica Fedak reassigns Medicare benefits to Skb Therapy (Fort Collins, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angelica Fedak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Angelica Fedak was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Angelica Fedak, MA, LPCC, ADDC · NPI 1427745504
Mental Health provider in Longmont, Colorado. Individual provider, active in the CMS NPPES registry since April 19, 2023.
## Identity
- **NPI:** 1427745504 (Entity type: Individual)
- **Enumerated:** April 19, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LPCC.0019010 (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 649 ROBERT ST, Longmont, CO 80503-9441
- **Phone:** (720) 526-3284
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Skb Therapy (NPI 1730711474, Fort Collins, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** April 19, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1427745504) · Data from the CMS NPPES public registry.