Active NPI
Sabrina Mirza
- Health & Wellness Coach
- Champaign, IL
National Provider Identifier
1730753534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Practice address
- 701 Devonshire Dr Ste B16-18
Champaign, IL 61820-7337 - Phone
- (217) 531-2360
- NPI assigned
- May 17, 2021
- 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 |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | Primary |
Addresses
Primary practice location
701 Devonshire Dr Ste B16-18
Champaign, IL 61820-7337
Mailing address
1513 E Florida Ave Apt 204
Urbana, IL 61802-6138
Phone (630) 217-8749
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cunninghamhome.org/stories_and_media/hopesprings-counseling-services |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 2, 2025 through May 2, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cunningham Children'S Home of Urbana Il | Past | Accepting new patients |
Organizations & group practices 1
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)
- Rantoul, IL
- NPI 1871378976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621209600000",
"number": "1730753534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1513 E FLORIDA AVE APT 204",
"city": "URBANA",
"state": "IL",
"postal_code": "618026138",
"telephone_number": "630-217-8749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 DEVONSHIRE DR STE B16-18",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618207337",
"telephone_number": "217-531-2360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRZA",
"first_name": "SABRINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-17",
"last_updated": "2021-05-17",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cunninghamhome.org/stories_and_media/hopesprings-counseling-services",
"affiliation": "N",
"address_1": "701 Devonshire Dr Ste B16-18",
"city": "Champaign",
"state": "IL",
"country_code": "US",
"postal_code": "618207337",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.