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KEVIN ICHASO
NPI 1417804170
Counselor - Mental Health in Fairfax, VA

Active since March 12, 2026
9480 MAIN ST # 1197, FAIRFAX, VA 22031(703) 509-0618 Get Directions Write a Review

NPPES record last updated: April 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 4, 2026, Mar 12, 2026 (2 updates tracked since 2026).

About Kevin Ichaso NPPES

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

KEVIN ICHASO (NPI 1417804170) is an individual mental health provider in Fairfax, Virginia, licensed in Virginia (0701016056) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1417804170
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKEVIN ICHASO
Location Address9480 MAIN ST # 1197Fairfax, VA 22031-4032
Mailing Address9480 Main St # 1197Fairfax, VA 22031-4032 · (703) 509-0618
Phone(703) 509-0618
Sole ProprietorNo
Enumeration DateMarch 12, 2026
Last NPPES UpdateApril 4, 20262 updates tracked since enumeration
NPPES CertifiedApril 4, 2026
✔ NPI 1417804170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in VA · 0701016056
9480 MAIN ST # 1197, Fairfax, VA 22031
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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 Ichaso's NPI number?

The NPI number for Kevin Ichaso is 1417804170. It was assigned to this individual provider in the NPPES registry on March 12, 2026.

Where is Kevin Ichaso located?

Kevin Ichaso practices at 9480 Main St # 1197, Fairfax, VA 22031. The listed phone number is (703) 509-0618.

What is Kevin Ichaso's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kevin Ichaso was last updated on April 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.