Individual provider Active NPI

Connor D Mook, MS, MA, LPCC

  • Professional Counselor
  • Covington, KY
National Provider Identifier
1790249787
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
294724 Issued in KY
Practice address
200 Home Rd
Covington, KY 41011-1942
Phone
(859) 261-8768
Fax
(859) 291-2431
NPI assigned
Jan 24, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 294724 KY Primary

Addresses

Primary practice location

200 Home Rd
Covington, KY 41011-1942

Mailing address

200 Home Rd
Covington, KY 41011-1942
Phone (859) 261-8768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20241209003803 KY Practitioner - Other (Non-Physician) 9931635356 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
294724KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Home of Northern Kentucky CurrentSince Nov 15, 2024 Accepting new patients
Children'S Home of Northern Kentucky PastSince Nov 15, 2024 Accepting new patients

Locations

4836 Idlewild Rd
Burlington, KY 41005
Phone (859) 261-8768

525 W 5th St
Ste 219
Covington, KY 41011
Phone (859) 261-8768

200 Home Rd
Covington, KY 41011
Phone (859) 261-8768

103 Barnes Rd
Ste 1
Williamstown, KY 41097
Phone (859) 261-8768

Organizations & group practices 2

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": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1790249787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOME RD",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410111942",
            "telephone_number": "859-261-8768",
            "fax_number": "859-291-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOME RD",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410111942",
            "telephone_number": "859-261-8768",
            "fax_number": "859-291-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOK",
        "first_name": "CONNOR",
        "middle_name": "D",
        "credential": "MS, MA, LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-24",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "294724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, KY

Sources for this page

Verify at the official NPI Registry.