Individual provider Active NPI

Sara Stratton, LCPC

  • Professional Counselor
  • Maryville, IL
National Provider Identifier
1336770841
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.011855 Issued in IL
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

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
180.011855ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sara Hunter Counseling LLC CurrentSince Mar 1, 2020 Accepting new patients
Sara Hunter Counseling CurrentSince Mar 1, 2020 Accepting new patients
Anew Perspective, Inc. Professional CurrentSince Aug 9, 2020 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.

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.

Verify at the official NPI Registry.