Active NPI
Adele Logan O'Keefe, PH.D.
- Professional Counselor
- Norfolk, VA
National Provider Identifier
1447575717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701004782
- Practice address
- 825 Fairfax Ave
Suite 118
Norfolk, VA 23507-1914 - Phone
- (757) 446-5955
- Fax
- (757) 446-5196
- NPI assigned
- Mar 30, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701004782 | VA | Primary |
| Marriage & Family Therapist | 106H00000X | 0717001214 | VA |
Addresses
Primary practice location
825 Fairfax Ave
Suite 118
Norfolk, VA 23507-1914
Mailing address
PO Box 936
Norfolk, VA 23501-0936
Phone (757) 446-5955
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| -086 | Other | VA | TRICARE/CHAMPUS |
| PAR | Other | VA | AETNA BEHAVIORAL HEALTH |
| PAR | Other | VA | UNITED BEHAVIORAL HEALTH |
| 1447575717 | Medicaid | VA | |
| PAR | Other | VA | CORVEL |
| PAR | Other | VA | USA MANAGED CARE |
| PAR | Other | VA | MANAGED HEALTH NETWORK |
| 1447575717 | Other | VA | OPTIMA BEHAVIORAL HEALTH |
| PAR | Other | VA | CIGNA BEHAVIORAL HEALTH |
| 1447575717 | Other | VA | FIRST HEALTH COMMERCIAL |
| PAR | Other | VA | VIRGINIA HEALTH NETWORK |
| 1447575715 | Other | VA | VIRGINIA PREMIER HEALTH PLAN |
| 454466 | Other | VA | ANTHEM BEHAVIORAL HEALTH |
| PAR | Other | VA | MULTIPLAN |
| PAR | Other | VA | MAGELLAN HEALTH SERVICES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701004782 | VA | MD | Professional Counselor |
| 0717001214 | VA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evms Academic Physicians and Surgeons Health Services Foundation | Past | Accepting new patients | |
| Coastal Podiatry, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Podiatrist
- Virginia Beach, VA
- NPI 1255356713
-
- Internal Medicine Physician
- Norfolk, VA
- NPI 1003887118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337040000000",
"number": "1447575717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235010936",
"telephone_number": "757-446-5955",
"fax_number": "757-446-5196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 FAIRFAX AVE",
"address_2": "SUITE 118",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235071914",
"telephone_number": "757-446-5955",
"fax_number": "757-446-5196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'KEEFE",
"first_name": "ADELE",
"middle_name": "LOGAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-30",
"last_updated": "2012-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701004782",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "0717001214",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/CHAMPUS",
"identifier": "-086",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BEHAVIORAL HEALTH",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "PAR",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1447575717",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORVEL",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA MANAGED CARE",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA BEHAVIORAL HEALTH",
"identifier": "1447575717",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH COMMERCIAL",
"identifier": "1447575717",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA HEALTH NETWORK",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA PREMIER HEALTH PLAN",
"identifier": "1447575715",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BEHAVIORAL HEALTH",
"identifier": "454466",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "PAR",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN HEALTH SERVICES",
"identifier": "PAR",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.