MAURICE JARREL PONDER LPC
NPI 1679946412
Counselor - Professional in Lynchburg, VA
About Maurice Jarrel Ponder Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAURICE JARREL PONDER LPC (NPI 1679946412) is an individual professional provider in Lynchburg, Virginia, licensed in Virginia (0701006366) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Maurice Jarrel Ponder Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Maurice Ponder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Francisco, CA 94131
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Brightside Medical Of New Jersey PC
- 112 clinicians in this Medicare group
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.
LYNCHBURG, VA 24504
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 Maurice Ponder's NPI number?
The NPI number for Maurice Ponder is 1679946412. It was assigned to this individual provider in the NPPES registry on November 2, 2015.
Where is Maurice Ponder located?
Maurice Ponder practices at 620 Court St, Lynchburg, VA 24504. The listed phone number is (434) 847-8035.
What is Maurice Ponder's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Maurice Ponder enrolled in Medicare?
Yes. Maurice Ponder is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Maurice Ponder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maurice Ponder reassigns Medicare benefits to Brightside Medical Of New Jersey, P.C. (San Francisco, CA). 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 Maurice Ponder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Maurice Ponder accept?
Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of NC, BridgeSpan Health Company, Cigna HealthCare of Arizona, Inc and Oscar Health and 2 other insurers list Maurice Ponder 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 Maurice Ponder was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Maurice Jarrel Ponder, LPC · NPI 1679946412
Professional provider in Lynchburg, Virginia. Individual provider, active in the CMS NPPES registry since November 2, 2015.
## Identity
- **NPI:** 1679946412 (Entity type: Individual)
- **Enumerated:** November 2, 2015
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 0701006366 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 620 COURT ST, Lynchburg, VA 24504-1312
- **Phone:** (434) 847-8035 · **Fax:** (434) 485-8877
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Brightside Medical Of New Jersey, P.C. (NPI 1811524754, San Francisco, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** May 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1679946412) · Data from the CMS NPPES public registry.