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REGINA FAGOUT
NPI 1083097968
Marriage & Family Therapist in San Diego, CA

Active since July 09, 2015PECOS Enrolled
2667 CAMINO DEL RIO S STE 301-1, SAN DIEGO, CA 92108(858) 761-4246 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 28, 2023, Jul 12, 2016, Jun 29, 2016 (3 updates tracked since 2016).

About Regina Fagout NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REGINA FAGOUT (NPI 1083097968) is an individual marriage & family therapist in San Diego, California, licensed in California (112511) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083097968
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameREGINA FAGOUT
Location Address2667 CAMINO DEL RIO S STE 301-1San Diego, CA 92108-3707
Mailing AddressPo Box 420295San Diego, CA 92142-0295 · (858) 761-4246
Phone(858) 761-4246
Sole ProprietorNo
Enumeration DateJuly 9, 2015
Last NPPES UpdateFebruary 28, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
✔ NPI 1083097968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · 112511✔ Licensed in CA · 76447
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
2667 CAMINO DEL RIO S STE 301-1, San Diego, CA 92108
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Regina Fagout is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Regina Fagout's NPI number?

The NPI number for Regina Fagout is 1083097968. It was assigned to this individual provider in the NPPES registry on July 9, 2015.

Where is Regina Fagout located?

Regina Fagout practices at 2667 Camino Del Rio S Ste 301-1, San Diego, CA 92108. The listed phone number is (858) 761-4246.

What is Regina Fagout's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Regina Fagout enrolled in Medicare?

Yes. Regina Fagout is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Regina Fagout was last updated on February 28, 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.