Individual provider Active NPI

Sabrina R Gosmire, LCPC

  • Professional Counselor
  • Oak Brook, IL
National Provider Identifier
1942355771
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180005477 Issued in IL
Practice address
1010 Jorie Blvd Ste 112
Oak Brook, IL 60523-4446
Phone
(630) 710-5729
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180005477 IL Primary
Mental Health Counselor 101YM0800X 180005477 IL

Addresses

Primary practice location

1010 Jorie Blvd Ste 112
Oak Brook, IL 60523-4446

Mailing address

1010 Jorie Blvd Ste 112
Oak Brook, IL 60523-4446
Phone (630) 710-5729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240328002516 IL Practitioner - Mental Health Counselor 7012245194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oak Brook Counseling and Wellness LTDGroup PAC ID 6507194750, 3 clinicians

Practice addresses (Care Compare)

1010 Jorie Blvd
Suite 112
Oak Brook, IL 60523-4446
Phone (630) 710-5729

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Brook Counseling & Wellness LTD CurrentSince Aug 2, 2019 Accepting new patients

Locations

1010 Jorie Blvd
Ste 112
Oak Brook, IL 60523
Phone (630) 537-1666

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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1942355771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 JORIE BLVD STE 112",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234446",
            "telephone_number": "630-710-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 JORIE BLVD STE 112",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234446",
            "telephone_number": "630-710-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSMIRE",
        "first_name": "SABRINA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180005477",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180005477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

Verify at the official NPI Registry.