Individual provider Active NPI

Ryan Grove, LCSWA

  • Mental Health Counselor
  • Chapel Hill, NC
National Provider Identifier
1710797436
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P021593 Issued in NC
Practice address
3819 S Columbia St
Chapel Hill, NC 27517-6617
Phone
(919) 627-7367
NPI assigned
Jan 14, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P021593 NC Primary

Addresses

Primary practice location

3819 S Columbia St
Chapel Hill, NC 27517-6617

Mailing address

4711 Hope Valley Rd Ste 4F-209
Durham, NC 27707-5651
Phone (919) 627-7367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P021593NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Evg Care PLLC CurrentSince Jan 19, 2025 Accepting new patients

Locations

4711 Hope Valley Rd
Ste 4F209
Durham, NC 27707

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": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1710797436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 HOPE VALLEY RD STE 4F-209",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075651",
            "telephone_number": "919-627-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 S COLUMBIA ST",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275176617",
            "telephone_number": "919-627-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVE",
        "first_name": "RYAN",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "P021593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.