Active NPI
Sabrina Fullilove
- Mental Health Counselor
- Oak Lawn, IL
National Provider Identifier
1750206389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 150.129671
- Practice address
- 5569 W 95TH St
Oak Lawn, IL 60453-2356 - Phone
- (888) 464-6177
- NPI assigned
- Aug 12, 2026
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 150.129671 | IL | Primary |
Addresses
Primary practice location
5569 W 95TH St
Oak Lawn, IL 60453-2356
Mailing address
1229 N Austin Blvd Apt 1
Chicago, IL 60651-1054
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1750206389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1229 N AUSTIN BLVD APT 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606511054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5569 W 95TH ST",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532356",
"telephone_number": "888-464-6177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLILOVE",
"first_name": "SABRINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-12",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "150.129671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.