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

Mr. Jason Brent Fedeli, MA, LPC-S

Individual provider Case Manager/Care Coordinator · NPI 1407199656

Mr. Jason Brent Fedeli, MA, LPC-S is a Mental Health Counselor in Anchorage, Alaska. Qualified in 2014, 12 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
12
Licensed in
AK
In the registry since
2013
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

9330 Vanguard Dr Ste 202
Anchorage, AK 99507-5393
Phone: (907) 202-2527
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 119538 (AK)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1407199656
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LPC-S
Sole proprietorYes
NPI enumeratedApril 5, 2013
Last updated in NPPESDecember 23, 2024
Certification dateDecember 23, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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