Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Angelica Fedak, MA, LPCC, ADDC

Individual provider Mental Health Counselor · NPI 1427745504

Angelica Fedak, MA, LPCC, ADDC is a Mental Health Counselor in Longmont, Colorado. Qualified in 2021, 5 years ago. Practices with Skb Therapy, a 3-clinician group. Licensed in Colorado.

Years since qualifying
5
Licensed in
CO
In the registry since
2023
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

649 Robert St
Longmont, CO 80503-9441
Phone: (720) 526-3284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPCC.0019010 (CO)

Record details

NPI number1427745504
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPCC , ADDC
Sole proprietorYes
NPI enumeratedApril 19, 2023
Last updated in NPPESApril 19, 2023
Certification dateApril 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Skb Therapy — 3 clinicians
Accepts Medicare assignment Not indicated

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