Eboni Clipper, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC8459 Issued in MD

Practice address

845 Quince Orchard Blvd Ste F
Gaithersburg, MD 20878-1676

Phone

(301) 769-5878

NPI assigned

Jun 13, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Care AssociatesGroup PAC ID 8325283229, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eboni.clipper.p1@direct.mcg-hhs.nextgenshare.com
• FHIR API: https://api.platform.athenahealth.com/21908/brand/1/csg/1/fhir/r4
• Direct secure messaging: eboni.clipper.1@29745.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Care Associates

  • Primary Care Clinic/Center
  • Gaithersburg, MD
  • NPI 1003151291

  DC

  Medicare reassignment Care Compare group
• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  DC, MD

  Medicare reassignment NPD
• Clipper Counseling LLC

  • Professional Counselor
  • Frederick, MD
  • NPI 1316669237
  NPD Authorized official
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• Washington Psychological Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gaithersburg, MD
  • NPI 1386201721
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1083063887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 QUINCE ORCHARD BLVD STE F",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781676",
            "telephone_number": "301-769-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 QUINCE ORCHARD BLVD STE F",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781676",
            "telephone_number": "301-769-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIPPER",
        "first_name": "EBONI",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC8459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Classical Acupuncture
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• Frania Climaco, LICSW
• Nikolas Michael Cline
• Raquel Coale, LCPC
• James Doesey Coates
• Andrew Charles Cobb, DDS
• Irene Cochran
• Owen Chu Cochran

• Professional Counselor in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.