What is Kevin Ichaso's NPI number?

Kevin Ichaso's National Provider Identifier (NPI) is 1417804170, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kevin Ichaso's specialty?

Kevin Ichaso is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Kevin Ichaso located?

Kevin Ichaso's practice location on file with NPPES is 9480 Main St # 1197, Fairfax, VA 22031-4032.

What is Kevin Ichaso's phone number?

The practice phone number listed in the NPPES registry for Kevin Ichaso is (703) 509-0618.

Is Kevin Ichaso's NPI active?

Yes — Kevin Ichaso's NPI (1417804170) is active in the NPPES registry as of the last update on 2026-04-04.

IndividualActive

Kevin Ichaso

NPI 1417804170 · Mental Health Counselor · Fairfax, VA

Kevin Ichaso is a Mental Health Counselor provider in Fairfax, VA (NPI 1417804170).

Provider details

NPI number: 1417804170
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No
License: 0701016056 (VA)

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800XLicense 0701016056 (VA)
Behavioral Health & Social Service Providers

Profile Score

Established profile(53/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

9480 Main St # 1197

Fairfax, VA 22031-4032

Phone: (703) 509-0618

Street-level locationGet directions

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Mailing address