Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Adam Difazio

Individual provider Professional Counselor · NPI 1376342402

Kevin Adam Difazio is a Mental Health Counselor in Richmond, Virginia. Qualified in 2018, 8 years ago. Licensed in Virginia.

Years since qualifying
8
Licensed in
VA
In the registry since
2025
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Practice location Address checks out

3536 Grove Ave
Richmond, VA 23221-2200
Phone: (540) 699-0226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0701014635 (VA)

Record details

NPI number1376342402
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 11, 2025
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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