Ebony C Fenwick, LPC in Alexandria, VA - Medicare Counselor Provider

Ebony C Fenwick, LPC is a medicare enrolled "Counselor - Professional" provider in Alexandria, Virginia. Her current practice location is 8119 Holland Rd, Alexandria, Virginia. You can reach out to her office (for appointments etc.) via phone at (571) 536-0764.

Ebony C Fenwick is licensed to practice in Virginia (license number 0701012835) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366166266.

Contact Information

	Ebony C Fenwick, LPC
	8119 Holland Rd, Alexandria, VA 22306-3135
	(571) 536-0764
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ebony C Fenwick
Gender	Female
Speciality	Counselor - Professional
Location	8119 Holland Rd, Alexandria, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366166266
Provider Enumeration Date: 10/04/2022
Last Update Date: 12/21/2023

Medicare PECOS Information:

PECOS PAC ID: 8729439153
Enrollment ID: I20240110000339

Medical Identifiers

Medical identifiers for Ebony C Fenwick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366166266	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	0701012835 (Virginia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ebony C Fenwick allows following entities to bill medicare on her behalf.

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20180531001919

Entity Name	Fairfax County, Virginia
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154356244 PECOS PAC ID: 9739136847 Enrollment ID: O20210319001688

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ebony C Fenwick is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ebony C Fenwick, LPC 8119 Holland Rd, Alexandria, VA 22306-3135 Ph: () -	Ebony C Fenwick, LPC 8119 Holland Rd, Alexandria, VA 22306-3135 Ph: (571) 536-0764

Reviews and Comments

Counselor in Alexandria, VA

Dr. John-paul James, PH.D., D.MIN., DACBN Counselor Medicare: Not Enrolled in Medicare Practice Location: 2800 Eisenhower Ave, Alexandria, VA 22314 Phone: 240-383-4800 Fax: 240-846-1533
Mrs. Kasey Lynn Gordon Cain, RESIDENT INCOUNSELIG Counselor Medicare: Not Enrolled in Medicare Practice Location: 2850 Eisenhower Ave, Alexandria, VA 22314 Phone: 703-991-6005
Amber Ferguson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2800 Eisenhower Ave Ste 200, Alexandria, VA 22314 Phone: 703-562-9220 Fax: 703-520-7745
Qi Chen, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3361 Beechcliff Dr, Alexandria, VA 22306 Phone: 970-889-9295
Karin Layne, QMHP, CASAC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 S Whiting St Ste 600, Alexandria, VA 22304 Phone: 571-257-8631 Fax: 571-231-4304
Ms. Lynn Marie Fritts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 N Saint Asaph St, Alexandria, VA 22314 Phone: 703-838-6400 Fax: 703-838-5062
Alycia Gayle Burant, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 N Washington St, Suite 322, Alexandria, VA 22314 Phone: 703-408-3512

Ebony C Fenwick, LPC - Medicare Counselor in Alexandria, VA