Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evan A Pergrim, LPC

Individual provider Mental Health Counselor · NPI 1194393488

Evan A Pergrim, LPC is a Mental Health Counselor in Leesburg, Virginia. Qualified in 2022, 4 years ago. Practices with Commonwealth Counseling Associates Inc, a 200-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio and Virginia.

Years since qualifying
4
Licensed in
OH, VA
In the registry since
2021
Specialties on file
3
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

199 Liberty St SW
Leesburg, VA 20175-2715
Phone: (804) 207-6737
Fax: (703) 665-7686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0701015732 (VA)
Mental Health Counselor Taxonomy 101YM0800X · Licence C.2204456 (OH)
Professional Counselor Taxonomy 101YP2500X · Licence C.2103296-TRNE (OH)

Record details

NPI number1194393488
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedJune 14, 2021
Last updated in NPPESMarch 19, 2026
Certification dateMarch 19, 2026
Mailing address199 Liberty St Sw, Leesburg, VA 20175-2715

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Commonwealth Counseling Associates Inc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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