Individual provider Active NPI

Kayo Tokizawa

  • Professional Counselor
  • Richmond, VA
National Provider Identifier
1669299509
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701013832 Issued in VA
Practice address
5911 W Broad St
Richmond, VA 23230-2219
Phone
(804) 396-4048
NPI assigned
Sep 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701013832 VA Primary

Addresses

Primary practice location

5911 W Broad St
Richmond, VA 23230-2219

Mailing address

5911 W Broad St
Richmond, VA 23230-2219
Phone (804) 396-4048

Other names 1

  • Chia Jung Lu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241101000213 VA Practitioner - Mental Health Counselor 8426581232 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Virginias Preferred Providers CurrentSince Aug 19, 2024 Accepting new patients

Locations

2421 Westwood Ave
Ste F
Richmond, VA 23230
Phone (804) 317-2288

5911 W Broad St
Richmond, VA 23230
Phone (804) 213-0259

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1669299509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5911 W BROAD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302219",
            "telephone_number": "804-396-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5911 W BROAD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302219",
            "telephone_number": "804-396-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOKIZAWA",
        "first_name": "KAYO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701013832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHIA JUNG",
            "last_name": "LU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.