Organization Active NPI

Charis Mental Health Plus Integrative Care

  • Psychiatry Physician
  • Suffolk, VA
National Provider Identifier
1558138453
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CHARIS MENTAL HEALTH PLUS INTEGRATIVE CARE
Practice address
2470 Pruden Blvd
Suffolk, VA 23434-4206
Phone
(757) 922-8048
Fax
(757) 922-8049
NPI assigned
Dec 11, 2023
Last updated
Dec 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Dr. La Keisha Keneti, DNP, FNP-C, PMH-BCNPI 1609119452
Title
Trustee
Phone
(757) 922-8048

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary
Integrative Medicine Physician 202D00000X NU

Addresses

Primary practice location

2470 Pruden Blvd
Suffolk, VA 23434-4206

Mailing address

2470 Pruden Blvd
Suffolk, VA 23434-4206
Phone (757) 922-8048

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1558138453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 PRUDEN BLVD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344206",
            "telephone_number": "757-922-8048",
            "fax_number": "757-922-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 PRUDEN BLVD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344206",
            "telephone_number": "757-922-8048",
            "fax_number": "757-922-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARIS MENTAL HEALTH PLUS INTEGRATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "KENETI",
        "authorized_official_first_name": "LA KEISHA",
        "authorized_official_title_or_position": "TRUSTEE",
        "authorized_official_telephone_number": "757-922-8048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-C, PMH-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.