EVIDENCE BASED CONSULTATION LLC EBC
NPI 1639783574
Psychologist - Clinical in Ashburn, VA

Q: What is Evidence Based Consultation LLC Ebc's NPI number?

The NPI number for Evidence Based Consultation LLC Ebc is 1639783574. It was assigned to this organization in the NPPES registry on September 8, 2020.

Q: What is Evidence Based Consultation LLC Ebc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since September 08, 2020

43803 MICHENER DR, ASHBURN, VA 20147(703) 443-4924(703) 775-1560 Get Directions Write a Review

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

Record update history: May 18, 2026, Apr 28, 2026, Sep 8, 2020 (3 updates tracked since 2020).

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About Evidence Based Consultation Llc Ebc NPPES

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

EVIDENCE BASED CONSULTATION LLC EBC (NPI 1639783574) is a healthcare organization registered as a clinical in Ashburn, Virginia and active in the NPI registry since September 2020. The organization lists Michelle R Rad, Founder, President, as its authorized official.

NPPES Registry Identity

NPI1639783574

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameEVIDENCE BASED CONSULTATION LLC EBC

Location Address43803 MICHENER DRAshburn, VA 20147-5807

Mailing Address43803 Michener DrAshburn, VA 20147-5807 · (443) 937-3183 · Fax (571) 999-7201

Phone(703) 443-4924

Fax(703) 775-1560

Organization SubpartYesParent: Self Knowledge Base And Foundation

Authorized OfficialMichelle R RadFounder, President · (443) 937-3183

Enumeration DateSeptember 8, 2020

Last NPPES UpdateMay 18, 20263 updates tracked since enumeration

NPPES CertifiedMay 18, 2026

✔ NPI 1639783574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

43803 MICHENER DR, Ashburn, VA 20147

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evidence Based Consultation Llc Ebc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Evidence Based Consultation LLC Ebc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michelle Rad, LCP, PSYD, MA

Clinical Psychologist

NPI 1720459746

43803 MICHENER DR
Ashburn, VA 20147

(703) 443-4924

✔ PECOSSame address

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 Evidence Based Consultation LLC Ebc's NPI number?

The NPI number for Evidence Based Consultation LLC Ebc is 1639783574. It was assigned to this organization in the NPPES registry on September 8, 2020.

Where is Evidence Based Consultation LLC Ebc located?

Evidence Based Consultation LLC Ebc is located at 43803 Michener Dr, Ashburn, VA 20147. The listed phone number is (703) 443-4924.

What is Evidence Based Consultation LLC Ebc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Evidence Based Consultation LLC Ebc enrolled in Medicare?

Yes. Evidence Based Consultation LLC Ebc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evidence Based Consultation LLC Ebc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Evidence Based Consultation LLC Ebc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Evidence Based Consultation LLC Ebc was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.