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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: July 26, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

SONGBIRD HEALTH MD LLC
Behavior Analyst
4701 SANGAMORE RD STE N100
BETHESDA, MD 20816
Montgomery County (240) 345-0772
MENDEM, LLC
Nurse Practitioner (Psychiatric/Mental Health)
4701 SANGAMORE RD STE N100
BETHESDA, MD 20816
Montgomery County (800) 682-3548
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
ERIC M ROSS
Technician (Attendant Care Provider)
4701 SANGAMORE RD STE N100
BETHESDA, MD 20816
Montgomery County (412) 513-7847
MS. ANNELIE CHRISTINA RODING PA
Physician Assistant
4701 SANGAMORE RD STE N100
BETHESDA, MD 20816
Montgomery County (914) 919-9200
LISA JOHNSON FNP-C, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4701 SANGAMORE RD STE N100
BETHESDA, MD 20816
Montgomery County (301) 985-2898
THRIVEWELL HEALTH LLC
Nurse Practitioner (Psychiatric/Mental Health)
4701 SANGAMORE RD STE N100
BETHESDA, MD 20816
Montgomery County (301) 985-2898
KATRINA LYNN BLACKER FNP-BC
Nurse Practitioner (Family)
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.

When was this NPI record last updated?

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