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Ebony Renee Harrison , LPC

Counselor - Professional β€’ Charlottesville, VA

Active NPI 1053914580 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

2340 Commonwealth Dr Ste 101
Charlottesville, VA 229011634

Call 4347678947 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2340 Commonwealth Dr Ste 101

Charlottesville, VA 229011634

Telephone 4347678947
Organization at the Same NPPES Address or Phone
Bright Flame Counseling Pllc Facility NPI 1700745254

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Richmond, VA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Lifebulb Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2015

Years since graduation

11 years (graduated 2015)

CMS Doctors and Clinicians data list 2015 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Ebony Harrison has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Ebony Harrison as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Charlottesville and Virginia

164 active clinicians are listed under Counselor - Professional with a practice address in Charlottesville, VA (6,588 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Charlottesville

4.9% of these 164 clinicians have the CMS telehealth indicator.

10.4% of these 164 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-01-14
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Lpc License
0701010086 (VA)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20241210002061

Enrollment State Jurisdiction

VA

PECOS Control ID

0749716017

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Lifebulb Llc

2340 Commonwealth Dr, Charlottesville, VA 229011634

Phone: 7324513895

Lifebulb Llc

505 Main St, Toms River, NJ 087537443

Phone: 7322720127

Secondary Practice Locations

3900 Westerre Pkwy Ste 300

Richmond, VA 232331339

Phone: 4347678947

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location January 14, 2026

Registered at 2340 COMMONWEALTH DR STE 101, CHARLOTTESVILLE, VA 229011634 (Tel: 4347678947)

πŸ“
Updated Business Mailing Address January 14, 2026

Registered at 3900 WESTERRE PKWY STE 300, RICHMOND, VA 232331339 (Tel: 4347678947)

🏒
Secondary Practice Location Registered January 14, 2026

Additional practice office at 3900 Westerre Pkwy Ste 300, Richmond, VA 232331339

πŸ“
Updated Practice Location January 01, 2022

Registered at 7101 JAHNKE RD, RICHMOND, VA 232254017 (Tel: 8049269474)

πŸ“
Updated Business Mailing Address January 01, 2022

Registered at 2892 SCHUTT RD, BURKEVILLE, VA 239222425 (Tel: 8049269474)

βœ…
NPI Profile Active November 18, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 18, 2020

Registered at 3445 FRANCIS ST, PETERSBURG, VA 238059352 (Tel: 8049269474)

πŸ“
Business Mailing Address (Initial Record) November 18, 2020

Registered at 3445 FRANCIS ST, PETERSBURG, VA 238059352 (Tel: 8049269474)

πŸ‘€
Provider Name / Credentials (Initial Record) November 18, 2020

Recorded as EBONY HARRISON, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2020

Counselor

🟒
Initial NPI Registration & Enumeration November 18, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1053914580
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 18, 2020
Last Update: January 14, 2026
Sole Proprietor: Yes

Mailing Address

3900 Westerre Pkwy Ste 300

Richmond, VA 232331339

Phone: 4347678947

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.