Individual provider Active NPI

Sara Goetz, LMFT

  • Marriage & Family Therapist
  • Muskego, WI
National Provider Identifier
1144766239
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1113 Issued in WI
Practice address
S74W16775 Janesville Rd
Muskego, WI 53150-7742
Phone
(414) 422-2430
Fax
(414) 422-2188
NPI assigned
Jan 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1113 WI Primary

Addresses

Primary practice location

S74W16775 Janesville Rd
Muskego, WI 53150-7742

Mailing address

7845 Harwood Ave
Wauwatosa, WI 53213-2523
Phone (262) 492-1090

Other practice location 1

7845 Harwood Ave
Wauwatosa, WI 53213
Phone (262) 492-1090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240412004016 WI Practitioner - Marriage and Family Therapist 7517306376 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Clinic CurrentSince Jan 22, 2024 Accepting new patients
Cornerstone Counseling Services, Inc CurrentSince Dec 2, 2024 Accepting new patients
Richard Kneip, PH.D., P.C. CurrentSince Dec 16, 2024 Accepting new patients
Innovative Wellness LLC Marriage & Family Therapist Current Accepting new patients

Locations

16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909

6525 Green Bay Rd
Ste 2
Kenosha, WI 53142
Phone (262) 492-5276

2524 E Webster Pl
Ste 203
Milwaukee, WI 53211
Phone (414) 964-9200

7845 Harwood Ave
Wauwatosa, WI 53213
Phone (262) 492-1090

10150 W National Ave
Ste 370
West Allis, WI 53227
Phone (262) 782-2090

26422 Oakridge Dr
Ste 106
Wind Lake, WI 53185

Organizations & group practices 4

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": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1144766239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7845 HARWOOD AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132523",
            "telephone_number": "262-492-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S74W16775 JANESVILLE RD",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531507742",
            "telephone_number": "414-422-2430",
            "fax_number": "414-422-2188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7845 Harwood Ave",
            "address_purpose": "LOCATION",
            "city": "Wauwatosa",
            "state": "WI",
            "postal_code": "53213",
            "country_code": "US",
            "telephone_number": "262-492-1090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "SARA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-12",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskego, WI

Sources for this page

Verify at the official NPI Registry.