Evan A Pergrim, LPC - Medicare Counselor in Leesburg, VA

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Evan A Pergrim, LPC is a medicare enrolled "Counselor - Professional" provider in Leesburg, Virginia. He graduated from healthcare school in 2022 and has 4 years of diverse experience with area of expertise as Mental Health Counselor. He is a member of the group practice Commonwealth Counseling Associates Inc and his current practice location is 199 Liberty St Sw, Leesburg, Virginia. You can reach out to his office (for appointments etc.) via phone at (804) 207-6737.

Evan A Pergrim is licensed to practice in Virginia (license number 0701015732) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194393488.

Contact Information

Evan A Pergrim, LPC
199 Liberty St Sw,
Leesburg, VA 20175-2715
(804) 207-6737
(703) 665-7686

Map and Direction


Healthcare Provider's Profile

Full NameEvan A Pergrim
GenderMale
SpecialityMental Health Counselor
Experience4 Years
Location199 Liberty St Sw, Leesburg, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Evan A Pergrim graduated from medical school in 2022
  NPI Data:
  • NPI Number: 1194393488
  • Provider Enumeration Date: 06/14/2021
  • Last Update Date: 03/19/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7214412709
  • Enrollment ID: I20260402000705

Medical Identifiers

Medical identifiers for Evan A Pergrim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194393488NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health C.2204456 (Ohio)Secondary
101YP2500XCounselor - Professional 0701015732 (Virginia)Primary
101YP2500XCounselor - Professional C.2103296-TRNE (Ohio)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Commonwealth Counseling Associates Inc0941288583207

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Evan A Pergrim allows following entities to bill medicare on his behalf.
Entity NameCommonwealth Counseling Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851345805
PECOS PAC ID: 0941288583
Enrollment ID: O20040710000183

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Evan A Pergrim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Evan A Pergrim, LPC
199 Liberty St Sw,
Leesburg, VA 20175-2715

Ph: (804) 207-6737		Evan A Pergrim, LPC
199 Liberty St Sw,
Leesburg, VA 20175-2715

Ph: (804) 207-6737

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.