Individual provider Active NPI

Nick Nerness

  • Professional Counselor
  • Virginia Beach, VA
National Provider Identifier
1487527776
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701015361 Issued in VA
Practice address
4216 Virginia Beach Blvd Ste 220
Virginia Beach, VA 23452-1297
Phone
(757) 202-4102
NPI assigned
Sep 24, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 0701015361 VA Primary

Addresses

Primary practice location

4216 Virginia Beach Blvd Ste 220
Virginia Beach, VA 23452-1297

Mailing address

1337 Raynor Dr
Virginia Beach, VA 23456-6896

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
I20251106003922 VA Practitioner - Mental Health Counselor 2961992037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1425 Battlefield Blvd N
Suite 2182
Chesapeake, VA 23320-4585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701015361VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Artemis Therapeutic Center LLC Multi-Specialty CurrentSince Oct 9, 2025 Accepting new patients

Locations

1425 Battlefield Blvd N
Ste 2182
Chesapeake, VA 23320
Phone (757) 453-3215

4216 Virginia Beach Blvd
Ste 220
Virginia Beach, VA 23452
Phone (757) 202-4102

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": "1758672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1487527776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 RAYNOR DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234566896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4216 VIRGINIA BEACH BLVD STE 220",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521297",
            "telephone_number": "757-202-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERNESS",
        "first_name": "NICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701015361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.