Individual provider Active NPI

Gene Groves Jr.

  • Professional Counselor
  • Hyattsville, MD
National Provider Identifier
1043049307
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC17673 Issued in MD
Practice address
7050 Chesapeake Rd Ste 104
Hyattsville, MD 20784-2345
Phone
(240) 770-7204
Fax
(866) 635-2959
NPI assigned
Jul 26, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC17673 MD Primary

Addresses

Primary practice location

7050 Chesapeake Rd Ste 104
Hyattsville, MD 20784-2345

Mailing address

2505 Baikal Loop
House
Upper Marlboro, MD 20774
Phone (202) 255-2675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260505000298 DC Practitioner - Mental Health Counselor 2961970454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2505 Baikal Loop
Upper Marlboro, MD 20774-7051

PO Box
Suite 1173
Salem, UT 84653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC17673MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Iou Counseling Services Professional CurrentSince Mar 7, 2026 Accepting new patients
The Bridges Wellness Group, LLC. Professional CurrentSince Jul 28, 2024 Accepting new patients

Locations

7050 Chesapeake Rd
Ste 104
Landover Hills, MD 20784
Phone (240) 770-7204

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1043049307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 BAIKAL LOOP",
            "address_2": "HOUSE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "20774",
            "telephone_number": "202-255-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 CHESAPEAKE RD STE 104",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207842345",
            "telephone_number": "240-770-7204",
            "fax_number": "866-635-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVES",
        "first_name": "GENE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-26",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC17673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

Verify at the official NPI Registry.