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Sara Koenig, MD, MBA

Medical Director & CEO


Sara Koenig, MD, MBA opened Triangle Wellness & Recovery PLLC in 2019 with the vision of providing personalized, evidence-based integrative care for substance use disorders, behavioral addictions, and chronic pain in a compassionate and innovative multidisciplinary setting. Dr. Koenig is one of only a handful of board-certified Addiction Medicine doctors in the Triangle, and the only one based in Cary, NC.


Education & Early Career in Academic Medicine


Dr. Koenig graduated from the University of North Carolina School of Medicine in Chapel Hill in 2006, and after completing residency and fellowship in Transfusion Medicine, she spent the first 5 years of her career in academic medicine holding clinical faculty positions at UNC Chapel Hill and the University of New Mexico School of Medicine.


The Turning Point into Cross-Disciplinary Addiction Medicine


In 2015, Dr. Koenig left academic medicine to become the Chief Medical Officer at Albuquerque Health Care for the Homeless – an integrated, multi-specialty, federally qualified health center (FQHC) providing medical, psychiatric, dental, behavioral health, and social support services to clients in the Albuquerque area. Inspired by the transformations she witnessed in patients receiving compassionate, integrated treatment for addiction and mental health disorders, Dr. Koenig decided to re-dedicate her career to the cross-disciplinary specialty of Addiction Medicine.


Returning to Chapel Hill, Dr. Koenig worked as an Addiction Medicine physician at Piedmont Health Systems, providing consulting for the UNC ECHO project on opioid addiction treatment, and presenting at community-based and academic forums. She obtained advanced training in medical and behavioral treatment of substance use disorders, chronic pain, and commonly co-occurring psychiatric conditions at University of North Carolina in Chapel Hill.


Integrative Medicine, HeartMath Biofeedback Certification & DBT Practitioner


In addition to her training and experience in traditional clinical management of addictions and co-occurring disorders, Dr. Koenig has completed workshops in complementary and integrative medicine through the Andrew Weil Center for Integrative Medicine at University of Arizona. In the fall of 2019, Dr. Koenig earned the Health Practitioner Certification in the use of HeartMath technology for heart rate variability biofeedback in clinical practice. Dr. Koenig is qualified by the standards of the Marsha Linehan Institute to lead Dialectical Behavioral Therapy (DBT) skills training, and is an active member of a local DBT consult-team in the Triangle area. Finally, Dr. Koenig has completed two weekend-long intensive trainings in clinical acupuncture and hopes to find time to return to the study of acupuncture in the coming years.


Board Certified In Addiction Medicine, Clinical Pathology and Transfusion Medicine


Dr. Koenig is triple board certified in Addiction Medicine, Clinical Pathology and Transfusion Medicine.


Award-Winning Educator, Public Speaker and Consultant


In addition to seeing clients for both individual and group visits in her private practice in Cary, Dr. Koenig provides continuing education courses for providers working in addiction and mental health and serves as an expert speaker on Addiction Medicine at the UNC School of Nursing. She was a guest speaker at the 6th annual “Kick Ass Ladies Club” event in 2018 in Raleigh, NC. Dr. Koenig has received awards and recognition for excellence in teaching from University of New Mexico, where she taught the science and ethics of transfusion medicine for the UNM School of Health Sciences and principles of patient-centered care for the UNM Anderson School of Management. She is a national consultant on the topics of addiction and harm reduction and is a member of both the American Society for Addiction Medicine (ASAM) and the American Association of Addiction Psychiatry (AAAP)