Organization Active NPI

Connor Counseling Services LLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1811767494
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CONNOR COUNSELING SERVICES LLC
Practice address
10336 S Western Ave Ste 26
Chicago, IL 60643-2407
Phone
(312) 945-8741
NPI assigned
Jan 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Tracy ConnorNPI 1245896067
Title
Owner
Phone
(312) 945-8741

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

10336 S Western Ave Ste 26
Chicago, IL 60643-2407

Mailing address

10336 S Western Ave Ste 26
Chicago, IL 60643-2407
Phone (312) 945-8741

National Provider Directory

National Provider Directory

Locations

10336 S Western Ave
Ste 26
Chicago, IL 60643
Phone (312) 945-8741

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1811767494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10336 S WESTERN AVE STE 26",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432407",
            "telephone_number": "312-945-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10336 S WESTERN AVE STE 26",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432407",
            "telephone_number": "312-945-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNOR COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "CONNOR",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-945-8741"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.