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REGINA FIDAZZO
NPI 1730714288
Counselor - Professional in Towson, MD

Active since March 05, 2020Opted out of Medicare · through Nov 24, 2026
408 ALLEGHENY AVE, TOWSON, MD 21204(410) 567-0090 Get Directions Write a Review

NPPES record last updated: March 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Regina Fidazzo NPPES

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

REGINA FIDAZZO (NPI 1730714288) is an individual professional provider in Towson, Maryland, licensed in Maryland (LC10324) and active in the NPI registry since March 2020. She has opted out of Medicare through November 24, 2026.

NPPES Registry Identity

NPI1730714288
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameREGINA FIDAZZO
Location Address408 ALLEGHENY AVETowson, MD 21204-4252
Mailing Address1401 La Belle AveTowson, MD 21204-6614 · (443) 801-8848
Phone(410) 567-0090
Sole ProprietorYes
Enumeration DateMarch 5, 2020
NPPES CertifiedMarch 5, 2020
✔ NPI 1730714288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LC10324
408 ALLEGHENY AVE, Towson, MD 21204
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Regina Fidazzo has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 24, 2024 through November 24, 2026.

Opt-Out Effective DateNovember 24, 2024
Opt-Out In Effect ThroughNovember 24, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WISE LIVING LLC
Counselor (Professional)
408 ALLEGHENY AVE
TOWSON, MD 21204
Baltimore County (410) 567-0090
FAMILY HEALTH SERVICES, INC.
Marriage & Family Therapist
408 ALLEGHENY AVE
TOWSON, MD 21204
Baltimore County (410) 296-6108
KATHRYN HOLDEN LCSW-C
Social Worker (Clinical)
408 ALLEGHENY AVE
TOWSON, MD 21204
Baltimore County (443) 797-3472
MS. CANDICE TISDALE THOMAS LCSWC ACSW
Social Worker (Clinical)
408 ALLEGHENY AVE
TOWSON, MD 21204
Baltimore County (443) 798-8832
MR. DOUGLAS CRIAG MURPHY MA, LCPC, LCMFT
Marriage & Family Therapist
408 ALLEGHENY AVE
TOWSON, MD 21204
Baltimore County (410) 296-6108
EMPOWERED LIFE THERAPY LLC
Counselor (Professional)
408 ALLEGHENY AVE
TOWSON, MD 21204
Baltimore County (443) 454-5786
MS. MARY MCNEISH-STENGEL LCSWC
Social Worker (Clinical)
408 ALLEGHENY AVE
TOWSON, MD 21204
Baltimore County (410) 321-5851
DBT OF TOWSON
Counselor (Professional)
408 ALLEGHENY AVE
TOWSON, MD 21204
Baltimore County (410) 583-2367

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 Fidazzo's NPI number?

The NPI number for Regina Fidazzo is 1730714288. It was assigned to this individual provider in the NPPES registry on March 5, 2020.

Where is Regina Fidazzo located?

Regina Fidazzo practices at 408 Allegheny Ave, Towson, MD 21204. The listed phone number is (410) 567-0090.

What is Regina Fidazzo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Regina Fidazzo enrolled in Medicare?

No. Regina Fidazzo has opted out of Medicare through November 24, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Regina Fidazzo was last updated on March 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.