Individual provider Active NPI

Sara Wanner Groark, LPC,LMFT,CSAC

  • Marriage & Family Therapist
  • McLean, VA
National Provider Identifier
1679753214
Registry record updated Nov 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0717000190 Issued in VA
Practice address
6842 Elm St
Suite 104
MC Lean, VA 22101-3891
Phone
(703) 855-1312
Fax
(703) 356-3461
NPI assigned
Nov 12, 2007
Last updated
Nov 12, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710001190 VA
Mental Health Counselor 101YM0800X 0701002267 VA
Marriage & Family Therapist 106H00000X 0717000190 VA Primary

Addresses

Primary practice location

6842 Elm St
Suite 104
MC Lean, VA 22101-3891

Mailing address

6842 Elm St
Suite 104
MC Lean, VA 22101-3891
Phone (703) 855-1312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0710001190VAMDAddiction (Substance Use Disorder) Counselor
0701002267VAMDMental Health Counselor
0717000190VAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194825600000",
    "number": "1679753214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6842 ELM ST",
            "address_2": "SUITE 104",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013891",
            "telephone_number": "703-855-1312",
            "fax_number": "703-356-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6842 ELM ST",
            "address_2": "SUITE 104",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013891",
            "telephone_number": "703-855-1312",
            "fax_number": "703-356-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROARK",
        "first_name": "SARA",
        "middle_name": "WANNER",
        "name_prefix": "Mrs.",
        "credential": "LPC,LMFT,CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2007-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710001190",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701002267",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McLean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.