MEDICARE: MOUNTAIN PASS COUNSELING PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1023965167
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOUNTAIN PASS COUNSELING PLLC

Provider Business Mailing Address
First Line	:	PO BOX 1389
Second Line	:
City	:	HILLSBOROUGH
State	:	NC
Zip	:	27278-1389
Country	:	US
Telephone Number	:	336-703-8130
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 SANDUSKY LN
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27614-7513
Country	:	US
Telephone Number	:	336-703-8130
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	COLE SOLOMON
Credential	:
Telephone Number	:	336-703-8130

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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