Connor Koch

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

210 N Wolf Rd
Wheeling, IL 60090-2922

Phone

(847) 353-1500

NPI assigned

Dec 29, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Omni Youth Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wheeling, IL
  • NPI 1134369663
  NPD (past)
• Omni Youth Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Wheeling, IL
  • NPI 1720525678
  NPD (past)
• SB Transitional Sub, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brockton, MA
  • NPI 1962091173
  NPD (past)
• South Bay Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brockton, MA
  • NPI 1023096864
  NPD (past)

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1396332920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 SECRET GARDEN DR",
            "city": "MCFARLAND",
            "state": "WI",
            "postal_code": "535588746",
            "telephone_number": "608-957-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N WOLF RD",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600902922",
            "telephone_number": "847-353-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "CONNOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-29",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Elizabeth Kinsey
• Jonathan J. Kissane, D.P.T.
• Scott C Knaack, D.C.
• Ko Wellness and Rehabilitation Center Inc
• Willes Ko, D.C.
• Michal Kolodziej, PTA
• Hannah Koo
• Vladlena Korol, PHARMD
• Eliska Kostelny, MA
• Barry Lewis Kramer, DDS

• Counselor in Wheeling, IL
• Providers in Wheeling, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.