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EARNEST RUSSELL REAVES LCPC
NPI 1164936738
Counselor - Professional in Edgewood, MD

Active since November 18, 2017PECOS Enrolled
3109 EBBTIDE DR, EDGEWOOD, MD 21040(443) 691-4982 Get Directions Write a Review

NPPES record last updated: November 18, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Earnest Russell Reaves Lcpc NPPES

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

EARNEST RUSSELL REAVES LCPC (NPI 1164936738) is an individual professional provider in Edgewood, Maryland, licensed in Maryland (LC8273) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164936738
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameEARNEST RUSSELL REAVESCredential: LCPC
Location Address3109 EBBTIDE DREdgewood, MD 21040-2920
Mailing Address3109 Ebbtide DrEdgewood, MD 21040-2920 · (443) 691-4982
Phone(443) 691-4982
Sole ProprietorYes
Enumeration DateNovember 18, 2017
✔ NPI 1164936738 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 · LC8273
3109 EBBTIDE DR, Edgewood, MD 21040
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Earnest Russell Reaves Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Earnest Reaves's NPI number?

The NPI number for Earnest Reaves is 1164936738. It was assigned to this individual provider in the NPPES registry on November 18, 2017.

Where is Earnest Reaves located?

Earnest Reaves practices at 3109 Ebbtide Dr, Edgewood, MD 21040. The listed phone number is (443) 691-4982.

What is Earnest Reaves's specialty?

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

Is Earnest Reaves enrolled in Medicare?

Yes. Earnest Reaves is registered in the Medicare PECOS enrollment system.

What insurance does Earnest Reaves accept?

Health plans from Providence Health Plan list Earnest Reaves 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 Earnest Reaves was last updated on November 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.