MARY ROBIN GROVE CRC, LPC
NPI 1043648694
Counselor - Professional in Canton, GA

Active since October 17, 2013PECOS EnrolledAccepts Medicare Assignment
310 PAPER TRAIL WAY, 106, CANTON, GA 30115(678) 880-4645 Get Directions Write a Review

NPPES record last updated: October 17, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1043648694
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARY ROBIN GROVECredential: CRC, LPC
Location Address310 PAPER TRAIL WAY, 106Canton, GA 30115-5203
Mailing Address310 Paper Trail Way, 106Canton, GA 30115-5203 · (678) 880-4645
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 17, 2013
NPI 1043648694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · LPC005065
310 PAPER TRAIL WAY, Canton, GA 30115

Other Identifiers 1

Medicaid45-5480838GA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID3375083108
PECOS Enrollment IDI20240909000455
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Counselor (Professional)
310 PAPER TRAIL WAY
CANTON, GA 30115
Occupational Therapist
310 PAPER TRAIL WAY, SUITE 302
CANTON, GA 30115
Music Therapist
310 PAPER TRAIL WAY, SUITE 302
CANTON, GA 30115
Clinic/Center (Physical Therapy)
310 PAPER TRAIL WAY, SUITE 302
CANTON, GA 30115
Physical Therapist
310 PAPER TRAIL WAY, SUITE 302
CANTON, GA 30115
Counselor (Mental Health)
310 PAPER TRAIL WAY
HOLLY SPRINGS, GA 30115
Social Worker (Clinical)
310 PAPER TRAIL WAY, SUITE 106
CANTON, GA 30115
Counselor (Mental Health)
310 PAPER TRAIL WAY
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.

When was this NPI record last updated?

The NPPES record for Mary Grove was last updated on October 17, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.