Active NPI
Sara Anne Groth, MA
- Mental Health Counselor
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2269 N Kedzie Blvd
Chicago, IL 60647-2591 - Phone
- (312) 819-7381
- NPI assigned
- Jul 19, 2021
- Last updated
- Jul 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Therapy Chicago, PLLC | Current | Accepting new patients |
Locations
155 N Michigan Ave
Ste 201
Chicago, IL 60601
Phone (312) 219-6335
1811 W North Ave
Ste 402
Chicago, IL 60622
Phone (312) 819-7381
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.