1. Home
  2. Directory
  3. Virginia
  4. Alexandria
  5. Counselor
  6. NPI Profile

EBONY C FENWICK LPC
NPI 1366166266
Counselor - Professional in Alexandria, VA

Active since October 04, 2022PECOS Enrolled
8119 HOLLAND RD, ALEXANDRIA, VA 22306(571) 536-0764 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ebony C Fenwick Lpc NPPES

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

EBONY C FENWICK LPC (NPI 1366166266) is an individual professional provider in Alexandria, Virginia, licensed in Virginia (0701012835) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Alexandria.

NPPES Registry Identity

NPI1366166266
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameEBONY C FENWICKCredential: LPC
Location Address8119 HOLLAND RDAlexandria, VA 22306-3135
Mailing Address8119 Holland RdAlexandria, VA 22306-3135
Phone(571) 536-0764
Sole ProprietorNo
Enumeration DateOctober 4, 2022
Last NPPES UpdateDecember 21, 2023
NPPES CertifiedSeptember 11, 2023
✔ NPI 1366166266 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 VA · 0701012835
8119 HOLLAND RD, Alexandria, VA 22306
Open in Google Maps ↗

Secondary Practice Location 1

Location 13014 Colvin St Ste 1-AAlexandria, VA 22314-5031 · Phone (855) 284-7483 · Fax (617) 807-0958

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ebony C Fenwick Lpc 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.

Medicare Billing Reassignment

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

Fairfax County, Virginia
17 mi
Mental Health (Including Community Mental Health Center)
12011 GOVERNMENT CENTER PARKWAY, SUITE 836
Fairfax, VA 22035
  • Reassigned Medicare billing, District of Columbia enrollment
  • Medicare enrollment name: Director Of Finance-County Of Fairfax Va
  • 383 clinicians in this Medicare group
NPI 1154356244 (703) 324-7000

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.

MISHA YASAR LPC
Counselor (Professional)
8119 HOLLAND RD
ALEXANDRIA, VA 22306
Fairfax County (703) 799-2870
DR. SIMONA PICK BOTH MD
Psychiatry & Neurology (Psychiatry)
8119 HOLLAND RD
ALEXANDRIA, VA 22306
Fairfax County (703) 383-8500
DR. JAMES THOMAS THORNBURGH MD
Psychiatry & Neurology (Psychiatry)
8119 HOLLAND RD
ALEXANDRIA, VA 22306
Fairfax County (703) 799-2762
WENDY LYNN IBANEZ RN
Registered Nurse
8119 HOLLAND RD
ALEXANDRIA, VA 22306
Fairfax County (703) 799-2810
MRS. DEVIN MCKENZIE ARNOLD LPC
Counselor (Professional)
8119 HOLLAND RD
ALEXANDRIA, VA 22306
Fairfax County (703) 360-6910
MARYBEL F QUANT LPC
Counselor (Professional)
8119 HOLLAND RD
ALEXANDRIA, VA 22306
Fairfax County (703) 799-2893
RACHAEL MICHELLE JOHNSON LPC
Counselor (Professional)
8119 HOLLAND RD
ALEXANDRIA, VA 22306
Fairfax County (703) 799-2723
SIMRAN KATWAL LCSW
Social Worker (Clinical)
8119 HOLLAND RD
ALEXANDRIA, VA 22306
Fairfax County (703) 360-6910

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 Fenwick's NPI number?

The NPI number for Ebony Fenwick is 1366166266. It was assigned to this individual provider in the NPPES registry on October 4, 2022.

Where is Ebony Fenwick located?

Ebony Fenwick practices at 8119 Holland Rd, Alexandria, VA 22306. The listed phone number is (571) 536-0764.

What is Ebony Fenwick's specialty?

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

Is Ebony Fenwick enrolled in Medicare?

Yes. Ebony Fenwick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ebony Fenwick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ebony Fenwick reassigns Medicare benefits to Fairfax County, Virginia (Fairfax, VA). 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 Fenwick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ebony Fenwick accept?

Health plans from Oscar Health and UnitedHealthcare list Ebony Fenwick 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 Fenwick was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.