Individual provider Active NPI

Cody Wayne Groves, MS, LPC CANDIDATE

  • Counselor
  • Enid, OK
National Provider Identifier
1114299534
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
502 W Randolph Ave
Enid, OK 73701-3828
Phone
(405) 514-8628
Fax
(580) 297-7010
NPI assigned
Jan 31, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X OK Primary

Addresses

Primary practice location

502 W Randolph Ave
Enid, OK 73701-3828

Mailing address

502 W Randolph Ave
Enid, OK 73701-3828
Phone (405) 514-8628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20260101000385 OK Practitioner - Mental Health Counselor 9234625930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

502 W Randolph Ave
Enid, OK 73701-3828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6256OKMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shamrock Counseling Services LLP CurrentSince Dec 9, 2025 Accepting new patients

Locations

502 W Randolph Ave
Enid, OK 73701
Phone (580) 234-8000

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": "1327968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1114299534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W RANDOLPH AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737013828",
            "telephone_number": "405-514-8628",
            "fax_number": "580-297-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W RANDOLPH AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737013828",
            "telephone_number": "405-514-8628",
            "fax_number": "580-297-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVES",
        "first_name": "CODY",
        "middle_name": "WAYNE",
        "credential": "MS, LPC CANDIDATE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-31",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.