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OLIVIA GRAY LCPC
NPI 1285170134
Counselor - Professional in Champaign, IL

Active since January 17, 2017PECOS Enrolled
2125 S NEIL ST, CHAMPAIGN, IL 61820(217) 352-0200(217) 607-1139 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 19, 2025, Aug 14, 2020, Jan 17, 2017 (3 updates tracked since 2017).

About Olivia Gray Lcpc NPPES

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

OLIVIA GRAY LCPC (NPI 1285170134) is an individual professional provider in Champaign, Illinois, licensed in Illinois (178.009686) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285170134
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameOLIVIA GRAYCredential: LCPC
Location Address2125 S NEIL STChampaign, IL 61820-7266
Mailing Address2125 S Neil StChampaign, IL 61820-7266 · (217) 352-0200 · Fax (217) 607-1139
Phone(217) 352-0200
Fax(217) 607-1139
Sole ProprietorNo
Enumeration DateJanuary 17, 2017
Last NPPES UpdateJune 19, 20253 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
✔ NPI 1285170134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 178.009686
2125 S NEIL ST, Champaign, IL 61820
Open in Google Maps ↗

Other Names 1

Former Name (1)Olivia Buttram

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olivia Gray Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Olivia Gray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Keri Powell Therapy Inc
Same address
Mental Health
2125 S NEIL ST
Champaign, IL 61820
  • Reassigned Medicare billing, Illinois enrollment
  • 61 clinicians in this Medicare group
NPI 1174751663 (217) 352-0200

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.

ERICA TAYLOR LPC
Counselor (Professional)
2125 S NEIL ST
CHAMPAIGN, IL 61820
Champaign County (217) 352-0200
CHRISTOPHER GADOW LPC
Counselor (Professional)
2125 S NEIL ST
CHAMPAIGN, IL 61820
Champaign County (217) 352-0200
GRACE J WASILEWSKI MSW
Social Worker
2125 S NEIL ST
CHAMPAIGN, IL 61820
Champaign County (217) 352-0200
DARIN L ROCK LCPC
Counselor (Professional)
2125 S NEIL ST
CHAMPAIGN, IL 61820
Champaign County (217) 352-0200
MS. KERI BETH POWELL LCSW
Social Worker (Clinical)
2125 S NEIL ST
CHAMPAIGN, IL 61820
Champaign County (217) 352-0200
KACIE JOYNER LCSW
Social Worker (Clinical)
2125 S NEIL ST
CHAMPAIGN, IL 61820
Champaign County (217) 493-4748
KRISTIN PASLEY LCSW
Social Worker (Clinical)
2125 S NEIL ST
CHAMPAIGN, IL 61820
Champaign County (217) 352-0200
KERI POWELL THERAPY INC
Counselor (Mental Health)
2125 S NEIL ST
CHAMPAIGN, IL 61820
Champaign County (217) 352-0200

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 Olivia Gray's NPI number?

The NPI number for Olivia Gray is 1285170134. It was assigned to this individual provider in the NPPES registry on January 17, 2017. The provider is also known as Olivia Buttram.

Where is Olivia Gray located?

Olivia Gray practices at 2125 S Neil St, Champaign, IL 61820. The listed phone number is (217) 352-0200.

What is Olivia Gray's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Olivia Gray enrolled in Medicare?

Yes. Olivia Gray is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Olivia Gray's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olivia Gray reassigns Medicare benefits to Keri Powell Therapy Inc (Champaign, IL). 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 Olivia Gray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Olivia Gray accept?

Health plans from Oscar Health list Olivia Gray as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Olivia Gray was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.