Individual provider Active NPI

Christina Anne Keenan, LPC

  • Mental Health Counselor
  • Alexandria, VA
National Provider Identifier
1295329209
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701010274 Issued in VA
Practice address
6027 Chicory PL
Alexandria, VA 22310-1796
Phone
(434) 227-7705
NPI assigned
Feb 22, 2021
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701010274 VA Primary

Addresses

Primary practice location

6027 Chicory PL
Alexandria, VA 22310-1796

Mailing address

440 Monticello Ave.
Suite 1802 #419765
Norfolk, VA 23510-3135
Phone (571) 408-6098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Sep 11, 2024 through Sep 11, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0701010274VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Christina Keenan Counseling LLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

440 Monticello Ave
Ste 1802
Norfolk, VA 23510
Phone (617) 214-2424

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1295329209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 MONTICELLO AVE.",
            "address_2": "SUITE 1802 #419765",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235103135",
            "telephone_number": "571-408-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6027 CHICORY PL",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223101796",
            "telephone_number": "434-227-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "CHRISTINA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701010274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.