Active NPI
Sarah Marie Gracz, MS, LMFT, CEDS
- Marriage & Family Therapist
- Mequon, WI
National Provider Identifier
1881168060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1197
- 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
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 |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orenda Counseling Services, LLC | Marriage & Family Therapist | Current | 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.
-
- Marriage & Family Therapist
- Mequon, WI
- NPI 1609336106
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.