Active NPI
Samantha Anne Scalabrino, LCPC
- Professional Counselor
- Northbrook, IL
National Provider Identifier
1508084252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180007244
- Practice address
- 3504 Commercial Ave
Northbrook, IL 60062-1821 - Phone
- (847) 272-5111
- NPI assigned
- Apr 20, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 178004273 | IL | |
| Professional Counselor | 101YP2500X | 180007244 | IL | Primary |
Addresses
Primary practice location
3504 Commercial Ave
Northbrook, IL 60062-1821
Mailing address
1111 Windbrooke Dr Apt 101
Buffalo Grove, IL 60089-2335
Phone (847) 924-3988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 19, 2024 through Sep 19, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178004273 | IL | MD | Mental Health Counselor |
| 180007244 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249948800000",
"number": "1508084252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 WINDBROOKE DR APT 101",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600892335",
"telephone_number": "847-924-3988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3504 COMMERCIAL AVE",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621821",
"telephone_number": "847-272-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCALABRINO",
"first_name": "SAMANTHA",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2009-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "178004273",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180007244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.