MARY ROBIN GROVE CRC, LPC
NPI 1043648694
Counselor - Professional in Canton, GA
About Mary Robin Grove Crc, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY ROBIN GROVE CRC, LPC (NPI 1043648694) is an individual professional provider in Canton, Georgia, licensed in Georgia (LPC005065) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary Robin Grove Crc, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mary Grove reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Canton, GA 30115
- Reassigned Medicare billing, Georgia enrollment
- 12 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CANTON, GA 30115
CANTON, GA 30115
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Grove's NPI number?
The NPI number for Mary Grove is 1043648694. It was assigned to this individual provider in the NPPES registry on October 17, 2013.
Where is Mary Grove located?
Mary Grove practices at 310 Paper Trail Way 106, Canton, GA 30115. The listed phone number is (678) 880-4645.
What is Mary Grove's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Mary Grove enrolled in Medicare?
Yes. Mary Grove is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mary Grove's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Grove reassigns Medicare benefits to Canton Counseling, LLC (Canton, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Grove's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Grove accept?
Health plans from Oscar Health list Mary Grove as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mary Grove was last updated on October 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mary Robin Grove, CRC, LPC · NPI 1043648694
Professional provider in Canton, Georgia. Individual provider, active in the CMS NPPES registry since October 17, 2013.
## Identity
- **NPI:** 1043648694 (Entity type: Individual)
- **Enumerated:** October 17, 2013
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC005065 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 310 PAPER TRAIL WAY, 106, Canton, GA 30115-5203
- **Phone:** (678) 880-4645
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Canton Counseling, LLC (NPI 1780014720, Canton, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** October 17, 2013
- **Other identifiers:** Medicaid 45-5480838 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1043648694) · Data from the CMS NPPES public registry.