Deborah Mabin, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180003414 Issued in IL

Practice address

2550 Crawford Ave
Suite 12
Evanston, IL 60201-4900

Phone

(847) 217-4978

Fax

(847) 864-6343

NPI assigned

Sep 6, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1467555318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 CLEVELAND ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021914",
            "telephone_number": "847-217-4967",
            "fax_number": "847-864-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 CRAWFORD AVE",
            "address_2": "SUITE 12",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014900",
            "telephone_number": "847-217-4978",
            "fax_number": "847-864-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABIN",
        "first_name": "DEBORAH",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "180003414",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180003414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "363300648",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lyons, LCSW
• David Allen Lyubashevsky, MD
• M & R Dental, PLLC
• M Lichterman PLLC
• Angela Maas, PHARMD
• Christopher-Armand Zaragoza Mabini, DO
• Caitlin Macgregor, MD
• Scott N Macgregor, DO
• Teresa Maciejczyk, DPT
• Duncan F Macintyre

• Professional Counselor in Evanston, IL
• Providers in Evanston, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.