Active NPI
Sara Stratton, LCPC
- Professional Counselor
- Maryville, IL
National Provider Identifier
1336770841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.011855
- Practice address
- 6201 W Main St Ste 120
Maryville, IL 62062-6870 - Phone
- (618) 208-1690
- Fax
- (618) 772-7200
- NPI assigned
- Feb 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.011855 | IL | Primary |
Addresses
Primary practice location
6201 W Main St Ste 120
Maryville, IL 62062-6870
Mailing address
208 Grand Rapids LN
Edwardsville, IL 62025-5965
Phone (217) 972-4014
Other practice location 1
645 Berkshire Blvd
East Alton, IL 62024-1324
Phone (618) 258-8767 ext. 2767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.011855 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sara Hunter Counseling LLC | Current | Accepting new patients | |
| Sara Hunter Counseling | Current | Accepting new patients | |
| Anew Perspective, Inc. | Professional | Current | Accepting new patients |
Locations
6201 W Main St
Ste 120
Maryville, IL 62062
Phone (618) 208-1690
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Maryville, IL
- NPI 1295369627
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wood River, IL
- NPI 1770117038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1336770841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 GRAND RAPIDS LN",
"city": "EDWARDSVILLE",
"state": "IL",
"postal_code": "620255965",
"telephone_number": "217-972-4014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6201 W MAIN ST STE 120",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "620626870",
"telephone_number": "618-208-1690",
"fax_number": "618-772-7200"
}
],
"practiceLocations": [
{
"address_1": "645 Berkshire Blvd",
"address_purpose": "LOCATION",
"city": "East Alton",
"state": "IL",
"postal_code": "620241324",
"country_code": "US",
"telephone_number": "618-258-8767 x2767",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STRATTON",
"first_name": "SARA",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-03",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.011855",
"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 Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.