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

Rose Fedechko, LPC/COTA

Individual provider Occupational Therapy Assistant · NPI 1104600758

Rose Fedechko, LPC/COTA is a Mental Health Counselor in Mantua, New Jersey. Qualified in 2023, 3 years ago. Practices with Aurora Sun Counseling, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2023
Specialties on file
2

Practice location Address checks out

550 Bridgeton Pike Ste 2
Mantua, NJ 08051-1318
Phone: (856) 746-4244
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 37PC01223700 (NJ)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 46TA09094500 (NJ)

Record details

NPI number1104600758
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC/COTA
Sole proprietorYes
NPI enumeratedAugust 23, 2023
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026
Mailing addressPo Box 366, Mount Royal, NJ 08061-0366

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Aurora Sun Counseling, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount