EBONY RENEE HARRISON LPC
NPI 1053914580
Counselor - Professional in Charlottesville, VA

Active since November 18, 2020PECOS EnrolledAccepts Medicare Assignment
2340 COMMONWEALTH DR STE 101, CHARLOTTESVILLE, VA 22901(434) 767-8947 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 14, 2026, Jan 1, 2022, Nov 18, 2020 (3 updates tracked since 2020).

About Ebony Renee Harrison Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EBONY RENEE HARRISON LPC (NPI 1053914580) is an individual professional provider in Charlottesville, Virginia and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Richmond, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1053914580
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameEBONY RENEE HARRISONCredential: LPC
Location Address2340 COMMONWEALTH DR STE 101Charlottesville, VA 22901-1634
Mailing Address3900 Westerre Pkwy Ste 300Richmond, VA 23233-1339 · (434) 767-8947
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 18, 2020
Last NPPES UpdateJanuary 14, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
✔ NPI 1053914580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
2340 COMMONWEALTH DR STE 101, Charlottesville, VA 22901

Secondary Practice Location 1

Location 13900 Westerre Pkwy Ste 300Richmond, VA 23233-1339 · Phone (434) 767-8947

Other Identifiers 1

Other0701010086VA · Lpc License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ebony Renee Harrison Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749716017
PECOS Enrollment IDI20241210002061, I20250102001043
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ebony Harrison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
505 MAIN ST
Toms River, NJ 08753
  • Reassigned Medicare billing, New Jersey and Virginia enrollments
  • 93 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
2340 COMMONWEALTH DR STE 101
CHARLOTTESVILLE, VA 22901
Social Worker (Clinical)
2340 COMMONWEALTH DR STE 101
CHARLOTTESVILLE, VA 22901
Counselor (Professional)
2340 COMMONWEALTH DR STE 101
CHARLOTTESVILLE, VA 22901
Counselor (Professional)
2340 COMMONWEALTH DR STE 101
CHARLOTTESVILLE, VA 22901
Social Worker (Clinical)
2340 COMMONWEALTH DR STE 101
CHARLOTTESVILLE, VA 22901
Social Worker (Clinical)
2340 COMMONWEALTH DR STE 101
CHARLOTTESVILLE, VA 22901
Counselor (Professional)
2340 COMMONWEALTH DR STE 101
CHARLOTTESVILLE, VA 22901
Counselor (Mental Health)
2340 COMMONWEALTH DR STE 101
CHARLOTTESVILLE, VA 22901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ebony Harrison's NPI number?

The NPI number for Ebony Harrison is 1053914580. It was assigned to this individual provider in the NPPES registry on November 18, 2020.

Where is Ebony Harrison located?

Ebony Harrison practices at 2340 Commonwealth Dr Ste 101, Charlottesville, VA 22901. The listed phone number is (434) 767-8947.

What is Ebony Harrison's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Ebony Harrison enrolled in Medicare?

Yes. Ebony Harrison is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ebony Harrison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ebony Harrison reassigns Medicare benefits to Lifebulb LLC (Toms River, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ebony Harrison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ebony Harrison accept?

Health plans from Oscar Health list Ebony Harrison as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ebony Harrison was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.