Active NPI
Gene Groves Jr.
- Professional Counselor
- Hyattsville, MD
National Provider Identifier
1043049307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC17673
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC17673 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iou Counseling Services | Professional | Current | Accepting new patients |
| The Bridges Wellness Group, LLC. | Professional | Current | 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.
-
- Professional Counselor
- Hyattsville, MD
- NPI 1396279824
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.