Individual provider Active NPI

Stacey Groves, LMFT

  • Marriage & Family Therapist
  • Shelbyville, IN
National Provider Identifier
1326096967
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35001558 Issued in IN
Practice address
7 E Hendricks St
Shelbyville, IN 46176-2124
Phone
(317) 392-2564
Fax
(317) 392-9545
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 87000981A IN
Marriage & Family Therapist 106H00000X 35001558 IN Primary

Addresses

Primary practice location

7 E Hendricks St
Shelbyville, IN 46176-2124

Mailing address

6626 E 75TH Street
Suite 500
Indianapolis, IN 46250-2890
Phone (317) 621-7561

Other identifiers 1

IdentifierTypeStateIssuer
000000841160OtherINANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20231220002279 IN Practitioner - Marriage and Family Therapist 9234589094 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jane Pauley Community Health Center IncGroup PAC ID 7618152729, 77 clinicians

Practice addresses (Care Compare)

1818 E State Rd
44 Suite B
Shelbyville, IN 46176-1814
Phone (463) 232-3088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
87000981AINMDAddiction (Substance Use Disorder) Counselor
35001558INMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Network, Inc CurrentSince Jan 1, 2024 Accepting new patients
Community Health Network, Inc Current Accepting new patients
Jane Pauley Community Health Center Inc CurrentSince Jul 1, 2025 Accepting new patients
Community Health Network, Inc Past Accepting new patients
Community Health Network, Inc. Past Accepting new patients

Locations

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

6950 Hillsdale Ct
Indianapolis, IN 46250
Phone (317) 621-7533

8931 E 30th St
Indianapolis, IN 46219
Phone (317) 355-9320

1503 N Mitthoefer Rd
Indianapolis, IN 46229

7 E Hendricks St
Shelbyville, IN 46176
Phone (317) 392-2564

1818 E State Road 44
Ste B
Shelbyville, IN 46176
Phone (317) 421-6060

Organizations & group practices 5

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1326096967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH STREET",
            "address_2": "SUITE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890",
            "telephone_number": "317-621-7561",
            "fax_number": "317-355-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 E HENDRICKS ST",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461762124",
            "telephone_number": "317-392-2564",
            "fax_number": "317-392-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVES",
        "first_name": "STACEY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87000981A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000841160",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, IN

Sources for this page

Verify at the official NPI Registry.