Active NPI
Deborah Denise Keeler, LPC, LMFT
- Marriage & Family Therapist
- Chesapeake, VA
National Provider Identifier
1720649643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0717000348
- Practice address
- 712 Inlet Quay Apt I
Chesapeake, VA 23320-9297 - Phone
- (757) 436-6049
- NPI assigned
- Jun 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701002277 | VA | |
| Marriage & Family Therapist | 106H00000X | 0717000348 | VA | Primary |
Addresses
Primary practice location
712 Inlet Quay Apt I
Chesapeake, VA 23320-9297
Mailing address
712 Inlet Quay Apt I
Chesapeake, VA 23320-9297
Phone (757) 436-6049
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13983739 | Other | CAQH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | CHESAPEAKE |
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 |
|---|---|---|---|
| 0701002277 | VA | MD | Professional Counselor |
| 0717000348 | VA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561075200000",
"number": "1720649643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 INLET QUAY APT I",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233209297",
"telephone_number": "757-436-6049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 INLET QUAY APT I",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233209297",
"telephone_number": "757-436-6049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEELER",
"first_name": "DEBORAH",
"middle_name": "DENISE",
"name_prefix": "Ms.",
"credential": "LPC, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-21",
"last_updated": "2019-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701002277",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "0717000348",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13983739",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "CHESAPEAKE",
"affiliation": "N",
"address_1": "712 Inlet Quay Apt I",
"city": "Chesapeake",
"state": "VA",
"country_code": "US",
"postal_code": "233209297",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.