EARNEST RUSSELL REAVES LCPC
NPI 1164936738
Counselor - Professional in Edgewood, MD
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Earnest Russell Reaves Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Earnest Reaves reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bel Air, MD 21015
- Reassigned Medicare billing, Maryland enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for Earnest Reaves's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Earnest Reaves reassigns Medicare benefits to Integrated Counseling Professionals LLC (Bel Air, MD). 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 Earnest Reaves'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 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.
# Earnest Russell Reaves, LCPC · NPI 1164936738
Professional provider in Edgewood, Maryland. Individual provider, active in the CMS NPPES registry since November 18, 2017.
## Identity
- **NPI:** 1164936738 (Entity type: Individual)
- **Enumerated:** November 18, 2017
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LC8273 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3109 EBBTIDE DR, Edgewood, MD 21040-2920
- **Phone:** (443) 691-4982
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Integrated Counseling Professionals LLC (NPI 1245701119, Bel Air, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 18, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1164936738) · Data from the CMS NPPES public registry.