Individual provider Active NPI

Sara Anne Groth, MA

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1417520347
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2269 N Kedzie Blvd
Chicago, IL 60647-2591
Phone
(312) 819-7381
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2269 N Kedzie Blvd
Chicago, IL 60647-2591

Mailing address

2313 W McLean Ave Apt 1E
Chicago, IL 60647-4161
Phone (708) 218-8160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: No
  • 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
I20250826005057 IL Practitioner - Mental Health Counselor 8820598485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sage Therapy Chicago, PLLCGroup PAC ID 2163945254, 11 clinicians

Practice addresses (Care Compare)

1811 W N Ave
Suite 402
Chicago, IL 60622-0204
Phone (312) 819-7381

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Therapy Chicago, PLLC CurrentSince Jul 30, 2025 Accepting new patients

Locations

1811 W North Ave
Ste 402
Chicago, IL 60622
Phone (312) 561-4393

155 N Michigan Ave
Ste 201
Chicago, IL 60601
Phone (312) 219-6335

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": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1417520347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 W MCLEAN AVE APT 1E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474161",
            "telephone_number": "708-218-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2269 N KEDZIE BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472591",
            "telephone_number": "312-819-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTH",
        "first_name": "SARA",
        "middle_name": "ANNE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.