Active NPI
Malcolm Keeton, LPC
- Mental Health Counselor
- North Chesterfield, VA
National Provider Identifier
1609654011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701012883
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0701012883 | VA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Professional Counselor
- Williamsburg, VA
- NPI 1508317199
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.