Individual provider Active NPI

John Daniel McKeal, MS

  • Mental Health Counselor
  • Williamsburg, VA
National Provider Identifier
1902385206
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701011072 Issued in VA
Practice address
5840 Hawthorn LN
Williamsburg, VA 23185-8038
Phone
(561) 379-2737
NPI assigned
Aug 8, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X MH19018 FL
Mental Health Counselor 101YM0800X 0701011072 VA Primary

Addresses

Primary practice location

5840 Hawthorn LN
Williamsburg, VA 23185-8038

Mailing address

5840 Hawthorn LN
Williamsburg, VA 23185-8038
Phone (561) 379-2737

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH19018FLMDMental Health Counselor
0701011072VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Counseling Professionals Mental Health CurrentSince Jul 31, 2022 Accepting new patients

Organizations & group practices 1

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": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1902385206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 HAWTHORN LN",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231858038",
            "telephone_number": "561-379-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 HAWTHORN LN",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231858038",
            "telephone_number": "561-379-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEAL",
        "first_name": "JOHN",
        "middle_name": "DANIEL",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-08",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19018",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701011072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.