Kevin M Connor Jr., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1373489 Issued in IL

Practice address

1409 W Irving Park Rd
Chicago, IL 60613-1920

Phone

(773) 698-7670

NPI assigned

Feb 17, 2021

Last updated

Feb 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1386237600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131920",
            "telephone_number": "773-698-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131920",
            "telephone_number": "773-698-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "KEVIN",
        "middle_name": "M",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "1373489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Connor, RN
• Frances Connor, LCPC
• Gwendolyn Steffen Connor, MS, CGC
• Janis Connor
• Jennifer Jean Connor, MD
• Laura Connor
• Sara Connor, OTR/L
• Susan Marie Connor, CDS
• Tracy Lynn Connor, LCSW
• William Connor, ED.D.

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.