Individual provider Active NPI

Sara J Goetsch, LCSW

  • Clinical Social Worker
  • Decatur, IL
National Provider Identifier
1932678422
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-017404 Issued in IL
Practice address
1170 E Riverside Ave
Decatur, IL 62521-3566
Phone
(217) 917-3226
NPI assigned
Nov 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 149-017404 IL
Clinical Social Worker 1041C0700X 149-017404 IL Primary

Addresses

Primary practice location

1170 E Riverside Ave
Decatur, IL 62521-3566

Mailing address

1170 E Riverside Ave
Decatur, IL 62521-3566
Phone (217) 917-3226

Other practice location 1

151 N Main St
Decatur, IL 62523-1206
Phone (217) 362-6262

Other names 1

  • Sara Tharp Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20211109002282 IL Practitioner - Clinical Social Worker 6204225493 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149-017404ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Your Feelings Behavioral Health LLC CurrentSince Jun 7, 2025 Accepting new patients
Heritage Behavioral Health Center, Inc. CurrentSince Jun 23, 2021 Accepting new patients
Heritage Behavioral Health Center Inc. CurrentSince Jun 23, 2021 Accepting new patients

Locations

151 N Main St
Decatur, IL 62523
Phone (217) 420-4776

1170 E Riverside Ave
Decatur, IL 62521
Phone (217) 387-3625

Organizations & group practices 3

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": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1932678422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 E RIVERSIDE AVE",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213566",
            "telephone_number": "217-917-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 E RIVERSIDE AVE",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213566",
            "telephone_number": "217-917-3226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 N Main St",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625231206",
            "country_code": "US",
            "telephone_number": "217-362-6262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOETSCH",
        "first_name": "SARA",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149-017404",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-017404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "THARP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.