NPIMap

Organization Active NPI

Triangle Wellness & Recovery PLLC

  • Addiction Medicine (Preventive Medicine) Physician
  • Cary, NC
National Provider Identifier
1003375346
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
Legal business name
TRIANGLE WELLNESS & RECOVERY PLLC
Practice address
1000 Darrington Dr Ste 204
Cary, NC 27513-8134
Phone
(919) 388-5621
NPI assigned
Mar 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Authorized official

Name
Dr. Sara Koenig, MD,MBANPI 1720253339
Title
Ceo & Medical Director
Phone
(505) 377-5406

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083A0300X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

1000 Darrington Dr Ste 204
Cary, NC 27513-8134

Mailing address

1000 Darrington Dr Ste 204
Cary, NC 27513-8134
Phone (919) 338-5621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200316001768 NC Part B Supplier - Clinic/Group Practice 8527496009 Receives reassigned benefits from 5 practitioners
Practice locations: Cary, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1003375346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 DARRINGTON DR STE 204",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138134",
            "telephone_number": "919-338-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 DARRINGTON DR STE 204",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138134",
            "telephone_number": "919-388-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE WELLNESS & RECOVERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-17",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "KOENIG",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "CEO & MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "505-377-5406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,MBA"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.