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EBONY WILLIAMS
NPI 1104531862
Counselor - Professional in Bethesda, MD

Active since January 17, 2023PECOS Enrolled
4701 SANGAMORE RD STE N100, BETHESDA, MD 20816(240) 814-7788 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 24, 2023, Jan 17, 2023 (2 updates tracked since 2023).

About Ebony Williams NPPES

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

EBONY WILLIAMS (NPI 1104531862) is an individual professional provider in Bethesda, Maryland, licensed in Maryland (LGP13068) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1104531862
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameEBONY WILLIAMS
Location Address4701 SANGAMORE RD STE N100Bethesda, MD 20816-2558
Mailing Address4701 Sangamore Rd Ste N100Bethesda, MD 20816-2558 · (240) 814-7788
Phone(240) 814-7788
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 17, 2023
Last NPPES UpdateJanuary 24, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2023
✔ NPI 1104531862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LGP13068
4701 SANGAMORE RD STE N100, Bethesda, MD 20816
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ebony Williams is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557838604
PECOS Enrollment IDI20260426000027
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 Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Therapeutic Empowerment And Wellness, LLC
30 mi
Mental Health
518 S CAMP MEADE RD STE 4
Linthicum Heights, MD 21090
  • Reassigned Medicare billing, Maryland enrollment
  • 5 clinicians in this Medicare group
NPI 1548090657 (302) 495-9773

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 20

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

FRANCISCO SANCHEZ
Physical Therapy Assistant
4701 SANGAMORE RD STE N100
BETHESDA, MD 20816
Montgomery County (209) 703-7118
MINDSCAPE PSYCH, PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
4701 SANGAMORE RD STE N100
BETHESDA, MD 20816
Montgomery County (240) 484-4226
DR. ISABELLE VON KOHORN MD, PHD
Pediatrics (Neonatal-Perinatal Medicine)
4701 SANGAMORE RD STE N100
BETHESDA, MD 20816
Montgomery County (914) 919-9200
GRACE GOODWIN DWYER RD, LDN
Dietitian, Registered
4701 SANGAMORE RD STE N100
BETHESDA, MD 20816
Montgomery County (914) 919-9200
LES SOINS, LLC
Home Health
4701 SANGAMORE RD STE N100
BETHESDA, MD 20816
Montgomery County (202) 630-3144
POMELO PC
Obstetrics & Gynecology
4701 SANGAMORE RD STE N100
BETHESDA, MD 20816
Montgomery County (914) 919-9200
ALEX LIMAGE
Physical Therapy Assistant
4701 SANGAMORE RD STE N100
BETHESDA, MD 20816
Montgomery County (619) 212-2932
DR. SARA ELIZABETH MAZZONI MD
Obstetrics & Gynecology
4701 SANGAMORE RD STE N100
BETHESDA, MD 20816
Montgomery County (914) 919-9200

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 Williams's NPI number?

The NPI number for Ebony Williams is 1104531862. It was assigned to this individual provider in the NPPES registry on January 17, 2023.

Where is Ebony Williams located?

Ebony Williams practices at 4701 Sangamore Rd Ste N100, Bethesda, MD 20816. The listed phone number is (240) 814-7788.

What is Ebony Williams's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Ebony Williams enrolled in Medicare?

Yes. Ebony Williams is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ebony Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ebony Williams reassigns Medicare benefits to Therapeutic Empowerment And Wellness, LLC (Linthicum Heights, MD). 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 Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ebony Williams was last updated on January 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.