SARAH NITKA LAC
NPI 1639656549
Counselor - Mental Health in Matawan, NJ
About Sarah Nitka Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SARAH NITKA LAC (NPI 1639656549) is an individual mental health provider in Matawan, New Jersey, licensed in New Jersey (37AC00331400) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sarah Nitka Lac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sarah Nitka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hoboken, NJ 07030
- Reassigned Medicare billing, New Jersey enrollment
- 673 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nitka's NPI number?
The NPI number for Sarah Nitka is 1639656549. It was assigned to this individual provider in the NPPES registry on July 24, 2018.
Where is Sarah Nitka located?
Sarah Nitka practices at 4122 Route 516, Matawan, NJ 07747. The listed phone number is (732) 679-4500.
What is Sarah Nitka's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Sarah Nitka enrolled in Medicare?
Yes. Sarah Nitka is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sarah Nitka's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Nitka reassigns Medicare benefits to Grow Healthcare Group Of New Jersey PC (Hoboken, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sarah Nitka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sarah Nitka was last updated on July 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Sarah Nitka, LAC · NPI 1639656549
Mental Health provider in Matawan, New Jersey. Individual provider, active in the CMS NPPES registry since July 24, 2018.
## Identity
- **NPI:** 1639656549 (Entity type: Individual)
- **Enumerated:** July 24, 2018
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 37AC00331400 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4122 ROUTE 516, Matawan, NJ 07747-7031
- **Phone:** (732) 679-4500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group Of New Jersey PC (NPI 1841949328, Hoboken, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 24, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1639656549) · Data from the CMS NPPES public registry.