Individual provider Active NPI

Sally Elaine Groff, LMFT

  • Marriage & Family Therapist
  • Indianapolis, IN
National Provider Identifier
1861603888
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IN35001591A Issued in IN
Practice address
7425 E. 86TH St.
Indianapolis, IN 46256
Phone
(317) 474-6448
NPI assigned
May 24, 2007
Last updated
Nov 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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 IN35001591A IN Primary

Addresses

Primary practice location

7425 E. 86TH St.
Indianapolis, IN 46256

Mailing address

P.O. Box 502246
Indianapolis, IN 46250-7246
Phone (317) 502-0330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20240321000285 IN Practitioner - Marriage and Family Therapist 4789021189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Laus Deo LLCGroup PAC ID 2961849369, 2 clinicians

Practice addresses (Care Compare)

7425 E 86TH St
Indianapolis, IN 46256-1207
Phone (317) 474-6448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IN35001591AINMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Laus Deo, LLC Marriage & Family Therapist CurrentSince Nov 14, 2023 Accepting new patients

Locations

7425 E 86th St
Indianapolis, IN 46256
Phone (317) 474-6448

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1861603888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 502246",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462507246",
            "telephone_number": "317-502-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7425 E. 86TH ST.",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46256",
            "telephone_number": "317-474-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROFF",
        "first_name": "SALLY",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "IN35001591A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.