Active NPI
Gronemeyer Bell Counseling Services, PLLC
- Mental Health Counselor
- Maryville, IL
National Provider Identifier
1003781675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sara M Wray
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251222003302 | IL | Part B Supplier - Clinic/Group Practice | 9537654033 |
Receives reassigned benefits from 1 practitioner Practice locations: Maryville, IL |
National Provider Directory
National Provider DirectoryLocations
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.