Individual provider Active NPI

Sarah Marie Gracz, MS, LMFT, CEDS

  • Marriage & Family Therapist
  • Mequon, WI
National Provider Identifier
1881168060
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1197 Issued in WI
Practice address
14135 N Cedarburg Rd Ste 205
Mequon, WI 53097-1416
Phone
(414) 662-4149
NPI assigned
Jan 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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 1197 WI Primary

Addresses

Primary practice location

14135 N Cedarburg Rd Ste 205
Mequon, WI 53097-1416

Mailing address

14135 N Cedarburg Rd Ste 205
Mequon, WI 53097-1416
Phone (414) 662-4149

Other practice location 1

312 E Wisconsin Ave
Milwaukee, WI 53202-4310
Phone (414) 488-3518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 4, 2024 through Feb 4, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Orenda Counseling Services, LLC Marriage & Family Therapist CurrentSince Mar 28, 2021 Accepting new patients

Locations

W57N14280 Doerr Way
Ste 102
Cedarburg, WI 53012
Phone (414) 662-4149

14135 N Cedarburg Rd
Ste 205
Mequon, WI 53097
Phone (407) 906-7301

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": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1881168060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14135 N CEDARBURG RD STE 205",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530971416",
            "telephone_number": "414-662-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14135 N CEDARBURG RD STE 205",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530971416",
            "telephone_number": "414-662-4149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 E Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532024310",
            "country_code": "US",
            "telephone_number": "414-488-3518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRACZ",
        "first_name": "SARAH",
        "middle_name": "MARIE",
        "credential": "MS, LMFT, CEDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-21",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

Verify at the official NPI Registry.