NICHOLAS DANIEL DEFAZIO LPCC-S, LICDC
NPI 1578170403
Counselor - Mental Health in Dayton, OH

Active since September 24, 2020
1951 S GETTYSBURG AVE, DAYTON, OH 45417(937) 496-7302 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicholas Daniel Defazio Lpcc-s, Licdc NPPES

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

NICHOLAS DANIEL DEFAZIO LPCC-S, LICDC (NPI 1578170403) is an individual mental health provider in Dayton, Ohio and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1578170403
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameNICHOLAS DANIEL DEFAZIOCredential: LPCC-S, LICDC
Location Address1951 S GETTYSBURG AVEDayton, OH 45417-4160
Mailing Address3012 Whittier AveKettering, OH 45420-2114 · (330) 575-3855
Sole ProprietorNo
Enumeration DateSeptember 24, 2020
NPPES CertifiedSeptember 23, 2020
NPI 1578170403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1951 S GETTYSBURG AVE, Dayton, OH 45417

Other Providers at the Same Location NPPES

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

Counselor (Addiction (Substance Use Disorder))
1951 S GETTYSBURG AVE
DAYTON, OH 45417

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 Nicholas Defazio's NPI number?

The NPI number for Nicholas Defazio is 1578170403. It was assigned to this individual provider in the NPPES registry on September 24, 2020.

Where is Nicholas Defazio located?

Nicholas Defazio practices at 1951 S Gettysburg Ave, Dayton, OH 45417. The listed phone number is (937) 496-7302.

What is Nicholas Defazio'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 Nicholas Defazio was last updated on September 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.