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SARAH GRENZEBACK LPCC
NPI 1073179966
Counselor - Mental Health in Youngsville, NM

Active since May 15, 2019Opted out of Medicare · through Sep 3, 2026
24 POLVADERA PL, YOUNGSVILLE, NM 87064(617) 834-8204 Get Directions Write a Review

NPPES record last updated: February 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 15, 2023, May 15, 2019 (2 updates tracked since 2019).

About Sarah Grenzeback Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SARAH GRENZEBACK LPCC (NPI 1073179966) is an individual mental health provider in Youngsville, New Mexico, licensed in New Mexico (CCMH0223711) and active in the NPI registry since May 2019. She has opted out of Medicare through September 3, 2026.

NPPES Registry Identity

NPI1073179966
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSARAH GRENZEBACKCredential: LPCC
Location Address24 POLVADERA PLYoungsville, NM 87064-0199
Mailing AddressPo Box 817Abiquiu, NM 87510-0817 · (617) 834-8204
Phone(617) 834-8204
Sole ProprietorYes
Enumeration DateMay 15, 2019
Last NPPES UpdateFebruary 15, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2023
✔ NPI 1073179966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in NM · CCMH0223711✔ Licensed in NM · CMH0200251
24 POLVADERA PL, Youngsville, NM 87064
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Sarah Grenzeback Lpcc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 3, 2024 through September 3, 2026.

Opt-Out Effective DateSeptember 3, 2024
Opt-Out In Effect ThroughSeptember 3, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CREATIVE ROOTS COUNSELING, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
24 POLVADERA PL
YOUNGSVILLE, NM 87064
Rio Arriba County (617) 834-8204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sarah Grenzeback's NPI number?

The NPI number for Sarah Grenzeback is 1073179966. It was assigned to this individual provider in the NPPES registry on May 15, 2019.

Where is Sarah Grenzeback located?

Sarah Grenzeback practices at 24 Polvadera Pl, Youngsville, NM 87064. The listed phone number is (617) 834-8204.

What is Sarah Grenzeback's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Sarah Grenzeback enrolled in Medicare?

No. Sarah Grenzeback has opted out of Medicare through September 3, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Sarah Grenzeback was last updated on February 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.