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MS. EBONI CLIPPER LCPC
NPI 1083063887
Counselor - Professional in Gaithersburg, MD

Active since June 13, 2016PECOS EnrolledAccepts Medicare Assignment
845 QUINCE ORCHARD BLVD STE F, GAITHERSBURG, MD 20878(301) 769-5878 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 18, 2022, Jul 14, 2022, Jun 13, 2016 (3 updates tracked since 2016).

About Ms. Eboni Clipper Lcpc NPPES

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

MS. EBONI CLIPPER LCPC (NPI 1083063887) is an individual professional provider in Gaithersburg, Maryland, licensed in Maryland (LC8459) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1083063887
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. EBONI CLIPPERCredential: LCPC
Location Address845 QUINCE ORCHARD BLVD STE FGaithersburg, MD 20878-1676
Mailing Address845 Quince Orchard Blvd Ste FGaithersburg, MD 20878-1676 · (301) 769-5878
Phone(301) 769-5878
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 13, 2016
Last NPPES UpdateJuly 18, 20223 updates tracked since enumeration
NPPES CertifiedJuly 18, 2022
✔ NPI 1083063887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LC8459
845 QUINCE ORCHARD BLVD STE F, Gaithersburg, MD 20878
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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

Ms. Eboni Clipper Lcpc 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 ID143694299
PECOS Enrollment IDI20240229003944
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 Reassignments

2

Medicare enrollment records show Eboni Clipper reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Care Associates
1.4 mi
Primary Care
702 RUSSELL AVE STE 100
Gaithersburg, MD 20877
  • Reassigned Medicare billing, District of Columbia enrollment
  • 17 clinicians in this Medicare group
NPI 1003151291 (301) 330-0006
Privia Medical Group, LLC
19 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 1,534 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850

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 20

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

AMELIA HUTCHINS LCSW-C
Social Worker (Clinical)
845 QUINCE ORCHARD BLVD STE F
GAITHERSBURG, MD 20878
Montgomery County (301) 769-5878
ALEXANDRA PORTNEY
Social Worker
845 QUINCE ORCHARD BLVD STE F
GAITHERSBURG, MD 20878
Montgomery County (301) 769-5878
TAYLOR PINTHIERE
Counselor
845 QUINCE ORCHARD BLVD STE F
GAITHERSBURG, MD 20878
Montgomery County (301) 769-5878
PRIYA GILL
Counselor (Mental Health)
845 QUINCE ORCHARD BLVD STE F
GAITHERSBURG, MD 20878
Montgomery County (301) 769-5878
BRITTANY GATES
Counselor (Mental Health)
845 QUINCE ORCHARD BLVD STE F
GAITHERSBURG, MD 20878
Montgomery County (301) 769-5878
YURI FORGUES LGPC
Counselor (Mental Health)
845 QUINCE ORCHARD BLVD STE F
GAITHERSBURG, MD 20878
Montgomery County (301) 769-5878
KELLY CAMARA WATKINS
Social Worker (Clinical)
845 QUINCE ORCHARD BLVD STE F
GAITHERSBURG, MD 20878
Montgomery County (301) 769-5878
WASHINGTON PSYCHOLOGICAL WELLNESS LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
845 QUINCE ORCHARD BLVD STE F
GAITHERSBURG, MD 20878
Montgomery County (301) 769-5878

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 Eboni Clipper's NPI number?

The NPI number for Eboni Clipper is 1083063887. It was assigned to this individual provider in the NPPES registry on June 13, 2016.

Where is Eboni Clipper located?

Eboni Clipper practices at 845 Quince Orchard Blvd Ste F, Gaithersburg, MD 20878. The listed phone number is (301) 769-5878.

What is Eboni Clipper's specialty?

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

Is Eboni Clipper enrolled in Medicare?

Yes. Eboni Clipper 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 organizations bill Medicare for Eboni Clipper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eboni Clipper reassigns Medicare benefits to 2 organizations: Family Care Associates (Gaithersburg, MD) and Privia Medical Group, LLC (Arlington, VA). Each 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 Eboni Clipper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Eboni Clipper was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.