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SARA WRAY LCPC
NPI 1922752484
Counselor - Mental Health in Maryville, IL

Active since February 03, 2022PECOS EnrolledAccepts Medicare Assignment
9 PROFESSIONAL PARK DR STE 16B, MARYVILLE, IL 62062(314) 472-8781 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 13, 2023, Feb 3, 2022 (2 updates tracked since 2022).

About Sara Wray Lcpc NPPES

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

SARA WRAY LCPC (NPI 1922752484) is an individual mental health provider in Maryville, Illinois, licensed in Illinois (180.017589) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1922752484
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSARA WRAYCredential: LCPC
Location Address9 PROFESSIONAL PARK DR STE 16BMaryville, IL 62062-5672
Mailing Address9 Professional Park Dr Ste 16bMaryville, IL 62062-5672 · (314) 472-8781
Phone(314) 472-8781
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 3, 2022
Last NPPES UpdateOctober 29, 20252 updates tracked since enumeration
NPPES CertifiedOctober 29, 2025
✔ NPI 1922752484 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 IL · 180.017589✔ Licensed in IL · 178.018101
9 PROFESSIONAL PARK DR STE 16B, Maryville, IL 62062
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sara Wray Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143672907
PECOS Enrollment IDI20240117001367
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.

Other Providers at the Same Location NPPES 4

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

MINDFUL PRIORITY COUNSELING LLC
Counselor (Mental Health)
9 PROFESSIONAL PARK DR STE 16B
MARYVILLE, IL 62062
Madison County (419) 953-1259
GRONEMEYER BELL COUNSELING SERVICES, PLLC
Counselor (Mental Health)
9 PROFESSIONAL PARK DR STE 16B
MARYVILLE, IL 62062
Madison County (618) 685-0180
MRS. MARJORIE KAYE GARCIA MA
Counselor (Mental Health)
9 PROFESSIONAL PARK DR STE 16B
MARYVILLE, IL 62062
Madison County (314) 399-8351
MARJORIE GARCIA COUNSELING PLLC
Counselor (Mental Health)
9 PROFESSIONAL PARK DR STE 16B
MARYVILLE, IL 62062
Madison County (314) 399-8351

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 Sara Wray's NPI number?

The NPI number for Sara Wray is 1922752484. It was assigned to this individual provider in the NPPES registry on February 3, 2022.

Where is Sara Wray located?

Sara Wray practices at 9 Professional Park Dr Ste 16B, Maryville, IL 62062. The listed phone number is (314) 472-8781.

What is Sara Wray's specialty?

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

Is Sara Wray enrolled in Medicare?

Yes. Sara Wray is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Sara Wray was last updated on October 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.