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: July 26, 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
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

Medicare Participation & PECOS CMS

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

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.

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.

Physical Therapist
3536 GROVE AVE
RICHMOND, VA 23221
Massage Therapist
3536 GROVE AVE
RICHMOND, VA 23221
Social Worker (Clinical)
3536 GROVE AVE
RICHMOND, VA 23221
Massage Therapist
3536 GROVE AVE
RICHMOND, VA 23221
Massage Therapist
3536 GROVE AVE
RICHMOND, VA 23221
Massage Therapist
3536 GROVE AVE
RICHMOND, VA 23221
Chiropractor
3536 GROVE AVE
RICHMOND, VA 23221
Family Medicine
3536 GROVE AVE
RICHMOND, VA 23221

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.

When was this NPI record last updated?

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