NPIMap

Individual provider Active NPI

Fitzroy A. Dwyer, MA

  • Mental Health Counselor
  • Laurel, MD
National Provider Identifier
1093354474
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
14280 Baltimore Ave
# 1202
Laurel, MD 20707-5006
Phone
(240) 814-4036
NPI assigned
Jan 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

14280 Baltimore Ave
# 1202
Laurel, MD 20707-5006

Mailing address

14280 Baltimore Ave
1202
Laurel, MD 20707-5006
Phone (240) 814-4036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Roh Mental Health and Wellness Services LLC Current Accepting new patients
Therapeutic Superventions, Inc. PastSince Jan 1, 2021 Accepting new patients
Chesapeake Psychology, Inc PastSince Jan 1, 2020 Accepting new patients

Locations

14280 Baltimore Ave
Laurel, MD 20707
Phone (240) 565-9022

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1093354474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14280 BALTIMORE AVE",
            "address_2": "1202",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075006",
            "telephone_number": "240-814-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14280 BALTIMORE AVE",
            "address_2": "# 1202",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075006",
            "telephone_number": "240-814-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER",
        "first_name": "FITZROY",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-02",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.