Active NPI
Charis Mental Health Plus Integrative Care
- Psychiatry Physician
- Suffolk, VA
National Provider Identifier
1558138453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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-BC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Family Nurse Practitioner
- Suffolk, VA
- NPI 1609119452
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
- Justin Chandler
- Channel Behavioral Care VA LLC (Channel ABA)
- Alexis Joan Chappell, PH.D.
- Austyn Caitlyn Chappell
- Peggy M Chappell, DMD
- Charis Mental Health, PLLC
- Charity First Youth Services LLC
- Charity Transport, LLC (Charity Care Home Health)
- Tamara Bonsack Cheater, CRNP
- Talisha Anderson Cheeks, NP
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.