Active NPI
Eric Hallowell Connor, LCPC
- Mental Health Counselor
- Evanston, IL
National Provider Identifier
1225325871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180009658
- Practice address
- 1618 Orrington Ave
Suite 202
Evanston, IL 60201-5016 - Phone
- (847) 328-7588
- NPI assigned
- Jul 5, 2011
- Sex
- Male
- 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 | 178007094 | IL | |
| Mental Health Counselor | 101YM0800X | 180009658 | IL | Primary |
Addresses
Primary practice location
1618 Orrington Ave
Suite 202
Evanston, IL 60201-5016
Mailing address
1618 Orrington Ave
Suite 202
Evanston, IL 60201-5016
Phone (847) 328-7588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 4, 2024 through Jan 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178007094 | IL | MD | Mental Health Counselor |
| 180009658 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430092800000",
"number": "1225325871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1618 ORRINGTON AVE",
"address_2": "SUITE 202",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602015016",
"telephone_number": "847-328-7588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1618 ORRINGTON AVE",
"address_2": "SUITE 202",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602015016",
"telephone_number": "847-328-7588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOR",
"first_name": "ERIC",
"middle_name": "HALLOWELL",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-05",
"last_updated": "2015-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "178007094",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180009658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.