VIBRANT INTEGRATIVE PSYCHIATRY PLLC
NPI 1356050769
Clinic/Center - Mental Health (Including Community Mental Health Center) in Gurnee, IL
About Vibrant Integrative Psychiatry Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VIBRANT INTEGRATIVE PSYCHIATRY PLLC (NPI 1356050769) is a healthcare organization registered as a mental health (including community mental health center) in Gurnee, Illinois and active in the NPI registry since November 2022. The organization lists Ilya Ray, Owner/apnp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vibrant Integrative Psychiatry Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Vibrant Integrative Psychiatry PLLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Vibrant Integrative Psychiatry PLLC's NPI number?
The NPI number for Vibrant Integrative Psychiatry PLLC is 1356050769. It was assigned to this organization in the NPPES registry on November 15, 2022.
Where is Vibrant Integrative Psychiatry PLLC located?
Vibrant Integrative Psychiatry PLLC is located at 1761 N Dilleys Rd Ste 211, Gurnee, IL 60031. The listed phone number is (224) 285-6006.
What is Vibrant Integrative Psychiatry PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Vibrant Integrative Psychiatry PLLC enrolled in Medicare?
Yes. Vibrant Integrative Psychiatry PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vibrant Integrative Psychiatry PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Vibrant Integrative Psychiatry PLLC, in Mental Health Counselor and Nurse Practitioner. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Vibrant Integrative Psychiatry PLLC was last updated on April 10, 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.
# Vibrant Integrative Psychiatry Pllc · NPI 1356050769
Mental Health (Including Community Mental Health Center) organization in Gurnee, Illinois. Organization record, active in the CMS NPPES registry since November 15, 2022.
## Identity
- **NPI:** 1356050769 (Entity type: Organization)
- **Enumerated:** November 15, 2022
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Ilya Ray, OWNER/APNP
## Practice location
- **Address:** 1761 N DILLEYS RD STE 211, Gurnee, IL 60031-1710
- **Phone:** (224) 285-6006
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (1), Nurse Practitioner (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 10, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1356050769) · Data from the CMS NPPES public registry.