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EBONI STARKS PHD, HSPP
NPI 1760160469
Psychologist - Clinical in Fpo, AP

Active since July 11, 2023PECOS Enrolled

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 1, 2026, Dec 9, 2025, Nov 24, 2025 and 5 more (8 updates tracked since 2023).

About Eboni Starks Phd, Hspp NPPES

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

EBONI STARKS PHD, HSPP (NPI 1760160469) is an individual clinical provider in Fpo, AP, licensed in Indiana (20043668A) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760160469
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameEBONI STARKSCredential: PHD, HSPP
Location AddressPSC 475 BOX 1Fpo, AP 96350-1200
Mailing Address9949 Alexia DrIndianapolis, IN 46236-7358 · (317) 750-0782
Phone(317) 750-0782
Sole ProprietorNo
Enumeration DateJuly 11, 2023
Last NPPES UpdateSeptember 1, 20268 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1760160469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IN · 20043668A
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.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eboni Starks Phd, Hspp 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 Reassignments

2

Medicare enrollment records show Eboni Starks reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aspire Indiana Health Inc
Federally Qualified Health Center (FQHC)
2506 WILLOWBROOK PKWY STE 300
Indianapolis, IN 46205
  • Reassigned Medicare billing, Indiana enrollment
  • 204 clinicians in this Medicare group
NPI 1033628953 (317) 574-1254
Aspire Indiana Inc.
Mental Health (Including Community Mental Health Center)
697 PRO MED LN
Carmel, IN 46032
  • Reassigned Medicare billing, Indiana enrollment
  • 187 clinicians in this Medicare group
NPI 1124016050 (317) 574-1254

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.

DR. ANTHONY JAMES MARIN D.D.S.
Dentist (Endodontics)
PSC 475 BOX 1
FPO, AP 96350
(315) 243-5069
JASON PAUL JENSEN OTR/L, CHT
Occupational Therapist
PSC 475 BOX 1
FPO, AP 96350
(315) 243-5348
ANDREA L HAYES MSH, RD/RN
Dietitian, Registered
PSC 475 BOX 1
FPO, AP 96350
(315) 243-8658
MR. SAMUEL FOSTER OT
Occupational Therapist
PSC 475 BOX 1
FPO, AP 96350
(315) 253-4562
KIRSTEN LEANNE SANDOVAL
Occupational Therapist
PSC 475 BOX 1
FPO, AP 96350
(818) 277-9111
DR. MIRIAM BEHPOUR DMD
Dentist (General Practice)
PSC 475 BOX 1
FPO, AP 96350
(315) 243-7144
MR. SEBASTIAN NMN STACHOWICZ CRNA
Nurse Anesthetist, Certified Registered
PSC 475 BOX 1
FPO, AP 96350
(619) 532-6400
PHILIP DEAN PETERSON MD
Pathology (Anatomic Pathology & Clinical Pathology)
PSC 475 BOX 1
FPO, AP 96350
(315) 243-8560

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 Eboni Starks's NPI number?

The NPI number for Eboni Starks is 1760160469. It was assigned to this individual provider in the NPPES registry on July 11, 2023.

Where is Eboni Starks located?

Eboni Starks practices at Psc 475 Box 1, Fpo, AP 96350. The listed phone number is (317) 750-0782.

What is Eboni Starks's specialty?

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

Is Eboni Starks enrolled in Medicare?

Yes. Eboni Starks is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Eboni Starks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eboni Starks reassigns Medicare benefits to 2 organizations: Aspire Indiana Health Inc (Indianapolis, IN) and Aspire Indiana Inc. (Carmel, IN). Each 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 Eboni Starks'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 Eboni Starks was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.