Organization Active NPI

Gronemeyer Bell Counseling Services, PLLC

  • Mental Health Counselor
  • Maryville, IL
National Provider Identifier
1003781675
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GRONEMEYER BELL COUNSELING SERVICES, PLLC
Practice address
9 Professional Park Dr Ste 16B
Maryville, IL 62062-5672
Phone
(618) 685-0180
NPI assigned
Oct 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sara M WrayNPI 1922752484
Title
Owner
Phone
(618) 704-9675

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

9 Professional Park Dr Ste 16B
Maryville, IL 62062-5672

Mailing address

4 Grainey Dr
Glen Carbon, IL 62034-3214
Phone (618) 704-9675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251222003302 IL Part B Supplier - Clinic/Group Practice 9537654033 Receives reassigned benefits from 1 practitioner
Practice locations: Maryville, IL

National Provider Directory

National Provider Directory

Locations

9 Professional Park Dr
#16B
Maryville, IL 62062
Phone (419) 953-1259

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1003781675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GRAINEY DR",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620343214",
            "telephone_number": "618-704-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 PROFESSIONAL PARK DR STE 16B",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625672",
            "telephone_number": "618-685-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRONEMEYER BELL COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "WRAY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-704-9675"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.