Individual provider

Rose Fedechko, LPC/COTA

Professional Counselor Occupational Therapy Assistant

Rose Fedechko, LPC/COTA is a Professional Counselor in Mantua, NJ, registered under NPI 1104600758. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 550 BRIDGETON PIKE STE 2, Mantua, NJ 08051. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

550 BRIDGETON PIKE STE 2, Mantua, NJ 08051 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
37PC01223700 NJ Professional Counselor primary
46TA09094500 NJ Occupational Therapy Assistant

This provider holds licence 37PC01223700 issued in NJ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Professional covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YP2500X
Behavioral Health & Social Service Providers Counselor Professional

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YP2500X Professional Counselor Professional 37PC01223700 NJ primary
224Z00000X Occupational Therapy Assistant 46TA09094500 NJ

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104600758 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 23, 2023
Last updatedApr 9, 2026
StatusActive
Sole proprietorYes
CredentialLPC/COTA
Practice address 550 BRIDGETON PIKE STE 2
Mantua, NJ 08051
(856) 746-4244
Mailing address PO BOX 366
Mount Royal, NJ 08061
This record was updated on Apr 9, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1104600758 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 6 0 0 7 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 3 0 0 7 1

Sum = 42 · next multiple of 10 = 50 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104600758?
NPI 1104600758 is the National Provider Identifier assigned to Rose Fedechko, LPC/COTA in Mantua, NJ. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Professional cover?
Definition to come...
How do I contact Rose Fedechko, LPC/COTA?
The phone number on file with NPPES is (856) 746-4244, last updated Apr 9, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1104600758 a valid number?
Yes. 1104600758 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.