Individual provider Active NPI

Brittany L Nettingham, LPC, LSATP

  • Clinical Psychologist
  • Virginia Beach, VA
National Provider Identifier
1043876014
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810009082 Issued in VA
Practice address
3620 Chase CT
Virginia Beach, VA 23462-6805
Phone
(757) 701-9025
NPI assigned
May 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0810009082 VA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0718000405 VA
Professional Counselor 101YP2500X 0701008021 VA

Addresses

Primary practice location

3620 Chase CT
Virginia Beach, VA 23462-6805

Mailing address

816 Greenbrier Cir Ste 100
Chesapeake, VA 23320-2645
Phone (757) 301-8747

Other practice location 1

816 Greenbrier Cir Ste 100
Chesapeake, VA 23320-2645
Phone (757) 301-8747

Other practice location 2

297 Independence Blvd Ste 415
Virginia Beach, VA 23462-2838
Phone (757) 701-9025

Other practice location 3

780 Lynnhaven Pkwy Ste 110
Virginia Beach, VA 23452-7351
Phone (757) 301-8747

Other practice location 4

780 Lynnhaven Pkwy Ste 340
Virginia Beach, VA 23452-7361
Phone (757) 301-8747

Other identifiers 1

IdentifierTypeStateIssuer
30016125470005MedicaidVA

Other names 1

  • Brittany L Vickers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240111001654 VA Practitioner - Mental Health Counselor 0446601744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0718000405VAMDAddiction (Substance Use Disorder) Counselor
0701008021VAMDProfessional Counselor
0810009082VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tilt Mental Health Services Addiction (Substance Use Disorder) CurrentSince Feb 9, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.brittanynettingham@134000.advancedmd-direct.com

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": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1043876014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 GREENBRIER CIR STE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202645",
            "telephone_number": "757-301-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 CHASE CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626805",
            "telephone_number": "757-701-9025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "816 Greenbrier Cir Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233202645",
            "country_code": "US",
            "telephone_number": "757-301-8747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "297 Independence Blvd Ste 415",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234622838",
            "country_code": "US",
            "telephone_number": "757-701-9025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "780 Lynnhaven Pkwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234527351",
            "country_code": "US",
            "telephone_number": "757-301-8747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "780 Lynnhaven Pkwy Ste 340",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234527361",
            "country_code": "US",
            "telephone_number": "757-301-8747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NETTINGHAM",
        "first_name": "BRITTANY",
        "middle_name": "L",
        "credential": "LPC, LSATP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810009082",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0718000405",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008021",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30016125470005",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "VICKERS",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.