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EBONY R SMITH
NPI 1932071628
Counselor - Mental Health in Woodbridge, VA

Active since September 22, 2025PECOS EnrolledAccepts Medicare Assignment
14011 WORTH AVE, WOODBRIDGE, VA 22192(703) 792-4900 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ebony R Smith NPPES

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

EBONY R SMITH (NPI 1932071628) is an individual mental health provider in Woodbridge, Virginia, licensed in Virginia (0701015335) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Woodbridge, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1932071628
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameEBONY R SMITH
Location Address14011 WORTH AVEWoodbridge, VA 22192-4123
Mailing Address4308 George Frye CirWoodbridge, VA 22193-5774 · (760) 717-0319
Phone(703) 792-4900
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 22, 2025
Last NPPES UpdateDecember 4, 2025
NPPES CertifiedDecember 4, 2025
✔ NPI 1932071628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in VA · 0701015335
14011 WORTH AVE, Woodbridge, VA 22192
Open in Google Maps ↗

Secondary Practice Location 1

Location 115941 Donald Curtis DrWoodbridge, VA 22191-4292 · Phone (760) 717-0319

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ebony R Smith 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 ID9436648136
PECOS Enrollment IDI20251031003138
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 Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prince William County Community Services Board
16 mi
Mental Health (Including Community Mental Health Center)
7969 ASHTON AVE
Manassas, VA 20109
  • Reassigned Medicare billing, Virginia enrollment
  • 141 clinicians in this Medicare group
NPI 1053402800 (703) 792-7800

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 6

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

MRS. KYMBERLY ELAINE WALKER LPC
Counselor (Mental Health)
14011 WORTH AVE
WOODBRIDGE, VA 22192
Prince William County (703) 792-7800
EMILY ROSE CAPLAN PA-C
Physician Assistant
14011 WORTH AVE
WOODBRIDGE, VA 22192
Prince William County (703) 229-0066
MRS. SAKINA FAHEEMAH BLUNT LPC
Counselor (Professional)
14011 WORTH AVE
WOODBRIDGE, VA 22192
Prince William County (703) 792-7800
MIRANDA L JONES LPC
Counselor (Mental Health)
14011 WORTH AVE
WOODBRIDGE, VA 22192
Prince William County (571) 673-6735
VICKI LYNN JACKSON LMSW
Social Worker
14011 WORTH AVE
WOODBRIDGE, VA 22192
Prince William County (703) 229-0066
ANGELA MICHON SUMNER
Counselor (Professional)
14011 WORTH AVE
WOODBRIDGE, VA 22192
Prince William County (703) 861-6548

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 Smith's NPI number?

The NPI number for Ebony Smith is 1932071628. It was assigned to this individual provider in the NPPES registry on September 22, 2025.

Where is Ebony Smith located?

Ebony Smith practices at 14011 Worth Ave, Woodbridge, VA 22192. The listed phone number is (703) 792-4900.

What is Ebony Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Ebony Smith enrolled in Medicare?

Yes. Ebony Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ebony Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ebony Smith reassigns Medicare benefits to Prince William County Community Services Board (Manassas, 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 Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ebony Smith accept?

Health plans from Oscar Health list Ebony Smith 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 Smith was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.