EVAN A PERGRIM LPC
NPI 1194393488
Counselor - Professional in Leesburg, VA

Q: What is Evan Pergrim's NPI number?

The NPI number for Evan Pergrim is 1194393488. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Q: What is Evan Pergrim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Evan Pergrim was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 14, 2021PECOS EnrolledAccepts Medicare Assignment

199 LIBERTY ST SW, LEESBURG, VA 20175(804) 207-6737(703) 665-7686 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2026, Jul 21, 2022, Jun 14, 2021 (3 updates tracked since 2021).

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About Evan A Pergrim Lpc NPPES

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

EVAN A PERGRIM LPC (NPI 1194393488) is an individual professional provider in Leesburg, Virginia, licensed in Virginia (0701015732) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1194393488

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameEVAN A PERGRIMCredential: LPC

Location Address199 LIBERTY ST SWLeesburg, VA 20175-2715

Mailing Address199 Liberty St SwLeesburg, VA 20175-2715 · (804) 207-6737 · Fax (703) 665-7686

Phone(804) 207-6737

Fax(703) 665-7686

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJune 14, 2021

Last NPPES UpdateMarch 19, 20263 updates tracked since enumeration

NPPES CertifiedMarch 19, 2026

✔ NPI 1194393488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in VA · 0701015732✔ Licensed in OH · C.2103296-TRNE

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License C.2204456 (OH)

199 LIBERTY ST SW, Leesburg, VA 20175

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Evan A Pergrim 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 ID7214412709

PECOS Enrollment IDI20260402000705

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.

Other Providers at the Same Location NPPES 17

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

SIBEL AL-BARZINJI MSW

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