Wise Living LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WISE LIVING LLC

Practice address

408 Allegheny Ave
Towson, MD 21204-4252

Phone

(410) 567-0090

NPI assigned

May 21, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Regina Marie Fidazzo, MANPI 1730714288

Title

Sole Member

Phone

(443) 801-8848

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Regina Fidazzo

  • Professional Counselor
  • Towson, MD
  • NPI 1730714288
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1043833239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 LA BELLE AVE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 ALLEGHENY AVE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044252",
            "telephone_number": "410-567-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "FIDAZZO",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "443-801-8848",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellie Jane Winson
• Julie Beth Winston, M.D.
• Sally M Winston, PSY.D.
• Dawn Winter, SLP
• Margaret Winters, D.C.
• Deaunjanae Wise
• Taylor Witcher
• Amy L. Wojcik, C.R.N.P.
• Melissa J. Wolf, CRNP
• Raven Wolf

• Professional Counselor in Towson, MD
• Providers in Towson, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.