Carissa Caitlin Sabal, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180013566 Issued in IL

Practice address

3805 E Main St Ste M
St Charles, IL 60174-2487

Phone

(630) 646-5200

Fax

(630) 377-3745

NPI assigned

Aug 12, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1255006128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 E MAIN ST STE M",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742487",
            "telephone_number": "630-646-5200",
            "fax_number": "630-377-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 E MAIN ST STE M",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742487",
            "telephone_number": "630-646-5200",
            "fax_number": "630-377-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABAL",
        "first_name": "CARISSA",
        "middle_name": "CAITLIN",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "34836",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180013566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carissa.sabal@eehealth.org",
            "affiliation": "N",
            "address_1": "3805 E Main St Ste M",
            "city": "St Charles",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601742487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Professional Counselor in St Charles, IL
• Providers in St Charles, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.