Individual provider Active NPI

Malcolm Keeton, LPC

  • Mental Health Counselor
  • North Chesterfield, VA
National Provider Identifier
1609654011
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701012883 Issued in VA
Practice address
1909 Huguenot Rd Ste 202
North Chesterfield, VA 23235-4314
Phone
(795) 280-4350
Fax
(866) 330-1467
NPI assigned
Sep 18, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 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 0701012883 VA Primary

Addresses

Primary practice location

1909 Huguenot Rd Ste 202
North Chesterfield, VA 23235-4314

Mailing address

4125 Ralph Rd
South Chesterfield, VA 23803-2524

Other practice location 1

5388 Discovery Park Blvd Ste 120B
Williamsburg, VA 23188-8218
Phone (757) 345-5588

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

State licenses

LicenseStateTypeSpecialty
0701012883VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clayton Counseling LLC Mental Health Past Accepting new patients
Organizational Sciences and Culture 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.

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1609654011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 RALPH RD",
            "city": "SOUTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "238032524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 HUGUENOT RD STE 202",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354314",
            "telephone_number": "795-280-4350",
            "fax_number": "866-330-1467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5388 Discovery Park Blvd Ste 120B",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231888218",
            "country_code": "US",
            "telephone_number": "757-345-5588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEETON",
        "first_name": "MALCOLM",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701012883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.