MEDICARE: PASS GO THERAPY AND COACHING

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YP2500X	Professional Counselor
2	251S00000X	Community/Behavioral Health Agency
3	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1043175227
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PASS GO THERAPY AND COACHING

Provider Business Mailing Address
First Line	:	16701 MELFORD BLVD STE 400
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20715-4411
Country	:	US
Telephone Number	:	202-743-0072
Fax Number	:

Provider Business Practice Location Address
First Line	:	16701 MELFORD BLVD STE 400
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20715-4411
Country	:	US
Telephone Number	:	202-743-0072
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. JENNIFER WILLIAMS
Credential	:	LCPC, LPC
Telephone Number	:	202-743-0072

Provider Enumeration Date	:	12/19/2025
Last Update Date	:	12/19/2025

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Directions to “PASS GO THERAPY AND COACHING ” Practice Location

Language	Start Address	Practice Location

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