Individual provider Active NPI

Ciara Jade Hoover, LCPC

  • Professional Counselor
  • California, MD
National Provider Identifier
1629793526
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC15753 Issued in MD
Practice address
23127 Three Notch Rd Ste 101
California, MD 20619-2403
Phone
(301) 866-6333
NPI assigned
Oct 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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 LC15753 MD Primary

Addresses

Primary practice location

23127 Three Notch Rd Ste 101
California, MD 20619-2403

Mailing address

22776 Three Notch Rd Suite 210
Lexington Park, MD 20653-3343
Phone (301) 866-6333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20250514000775 MD Practitioner - Mental Health Counselor 0840718862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inner Peace Therapeutic Services LLCGroup PAC ID 4688012883, 3 clinicians

Practice addresses (Care Compare)

22776 Three Notch Rd
Suite 210
Lexington Park, MD 20653-3370
Phone (301) 866-6333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Peace Therapeutic Services, LLC CurrentSince Mar 17, 2025 Accepting new patients

Locations

22776 Three Notch Rd
Ste 210
Lexington Park, MD 20653
Phone (301) 866-6333

Organizations & group practices 1

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": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1629793526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22776 THREE NOTCH RD SUITE 210",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206533343",
            "telephone_number": "301-866-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23127 THREE NOTCH RD STE 101",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206192403",
            "telephone_number": "301-866-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "CIARA",
        "middle_name": "JADE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC15753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in California, MD

Sources for this page

Verify at the official NPI Registry.