Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Ebony R Smith

Individual provider Mental Health Counselor · NPI 1932071628

Ebony R Smith is a Mental Health Counselor in Woodbridge, Virginia. Qualified in 2014, 12 years ago. Practices with Prince William County Community Services Board, a 54-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
12
Licensed in
VA
In the registry since
2025
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Practice location Address checks out

14011 Worth Ave
Woodbridge, VA 22192-4123
Phone: (703) 792-4900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15941 Donald Curtis Dr, Woodbridge, VA 22191-4292 — (760) 717-0319

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 0701015335 (VA)

Record details

NPI number1932071628
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 22, 2025
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Prince William County Community Services Board — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Prince William County Community Services Board

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 54 clinicians in the practice; 12 are shown here.

Other providers in Woodbridge