Keisha Nicole Whitney, QMHP C, QMHP A, CNA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0733007314 Issued in VA

Practice address

201 Wynn St
Portsmouth, VA 23701-3141

Phone

(757) 621-0117

NPI assigned

Dec 26, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1457990285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WYNN ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237013141",
            "telephone_number": "757-621-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WYNN ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237013141",
            "telephone_number": "757-621-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITNEY",
        "first_name": "KEISHA",
        "middle_name": "NICOLE",
        "credential": "QMHP C, QMHP A, CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-26",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0732003734",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "VA",
            "license": "1401096837",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0733007314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William White
• Rachel Whitehead-Artemus, LPN
• Rejohn Whitehead
• Pamela Whiteside, LPC, CADC
• Nathan Robert Whitlow, M.D.
• Tahira Imani Whittington, BSN
• Whole Village Counseling, Advocacy, and Mental Health Services, LLC
• Whole Village Healing Services
• Whole Village Transports, LLC
• Brittany N Wienclaw, DO

• Mental Health Counselor in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.