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KEVIN ADAM DIFAZIO
NPI 1376342402
Counselor - Professional in Richmond, VA

Active since March 11, 2025PECOS Enrolled
3536 GROVE AVE, RICHMOND, VA 23221(540) 699-0226 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kevin Adam Difazio NPPES

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

KEVIN ADAM DIFAZIO (NPI 1376342402) is an individual professional provider in Richmond, Virginia, licensed in Virginia (0701014635) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1376342402
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKEVIN ADAM DIFAZIO
Location Address3536 GROVE AVERichmond, VA 23221-2200
Mailing Address432 Westover Hills Blvd Apt 8Richmond, VA 23225-6305 · (856) 745-9185
Phone(540) 699-0226
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 11, 2025
NPPES CertifiedMarch 11, 2025
✔ NPI 1376342402 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 VA · 0701014635
3536 GROVE AVE, Richmond, VA 23221
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Adam Difazio is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971070384
PECOS Enrollment IDI20260423000280
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.

Medicare Billing Reassignment

Medicare enrollment records show Kevin Difazio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Resilience Counseling & Social Skills Center LLC
15 mi
Professional
6524 WOODLAKE VILLAGE CIR
Midlothian, VA 23112
  • Reassigned Medicare billing, Virginia enrollment
  • 55 clinicians in this Medicare group
NPI 1245724707 (540) 699-0226

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

STEPHEN DOUGLAS VESELY JR. DPT
Physical Therapist
3536 GROVE AVE
RICHMOND, VA 23221
Richmond City (804) 673-9355
MIRANDA HALE
Massage Therapist
3536 GROVE AVE
RICHMOND, VA 23221
Richmond City (804) 673-9355
ELIZABETH ROSE AUDRITSH LCSW
Social Worker (Clinical)
3536 GROVE AVE
RICHMOND, VA 23221
Richmond City (540) 699-0226
MARIA MAISANO LMT
Massage Therapist
3536 GROVE AVE
RICHMOND, VA 23221
Richmond City (804) 673-9355
KESHIA COLLINS
Massage Therapist
3536 GROVE AVE
RICHMOND, VA 23221
Richmond City (804) 673-9355
BREEZE SUTTON
Massage Therapist
3536 GROVE AVE
RICHMOND, VA 23221
Richmond City (804) 673-9355
WILLIAM U ROODMAN DC
Chiropractor
3536 GROVE AVE
RICHMOND, VA 23221
Richmond City (804) 359-1768
CENTER OF INTEGRATIVE MEDICINE LLC
Family Medicine
3536 GROVE AVE
RICHMOND, VA 23221
Richmond City (804) 353-9355

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 Kevin Difazio's NPI number?

The NPI number for Kevin Difazio is 1376342402. It was assigned to this individual provider in the NPPES registry on March 11, 2025.

Where is Kevin Difazio located?

Kevin Difazio practices at 3536 Grove Ave, Richmond, VA 23221. The listed phone number is (540) 699-0226.

What is Kevin Difazio's specialty?

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

Is Kevin Difazio enrolled in Medicare?

Yes. Kevin Difazio is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevin Difazio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Difazio reassigns Medicare benefits to Resilience Counseling & Social Skills Center LLC (Midlothian, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Difazio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kevin Difazio was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.