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MR. DEREK ROBERT CONN
NPI 1578826632
Counselor - Mental Health in Chicago, IL

Active since June 22, 2012PECOS Enrolled
5801 N PULASKI RD, CHICAGO, IL 60646(312) 744-1906 Get Directions Write a Review

NPPES record last updated: September 21, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Derek Robert Conn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DEREK ROBERT CONN (NPI 1578826632) is an individual mental health provider in Chicago, Illinois and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1578826632
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. DEREK ROBERT CONN
Location Address5801 N PULASKI RDChicago, IL 60646-6007
Mailing Address611 Harris DrBuffalo Grove, IL 60089-1672 · (847) 275-3033
Phone(312) 744-1906
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 22, 2012
Last NPPES UpdateSeptember 21, 2012
✔ NPI 1578826632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5801 N PULASKI RD, Chicago, IL 60646
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Derek Robert Conn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668810177
PECOS Enrollment IDI20240403001514
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Derek Conn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Progressive Psychological Healthcare, S.C.
17 mi
Mental Health (Including Community Mental Health Center)
750 W LAKE COOK RD STE 190
Buffalo Grove, IL 60089
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Progressive Psychological Healthcare Sc
  • 14 clinicians in this Medicare group
NPI 1902287923 (847) 979-0268

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS ANNIE SHEA NELSON
Counselor (Mental Health)
5801 N PULASKI RD, BUILDING C, 2ND FLOOR
CHICAGO, IL 60646
Cook County (312) 744-1906
LISA VINCENZINA SCANGA
Community/Behavioral Health
5801 N PULASKI RD, BUILDING C
CHICAGO, IL 60646
Cook County (312) 744-1906
MEL DAVID
Counselor (Mental Health)
5801 N PULASKI RD
CHICAGO, IL 60646
Cook County (312) 744-1906
NORTHRIVER MHC
Public Health or Welfare
5801 N PULASKI RD
CHICAGO, IL 60646
Cook County (312) 744-1906
NORTH RIVER MENTAL HEALTH CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
5801 N PULASKI RD
CHICAGO, IL 60646
Cook County (312) 744-1906
CITY OF CHICAGO: NORTH RIVER BEHAVIORAL HEALTH CENTER
Community/Behavioral Health
5801 N PULASKI RD
CHICAGO, IL 60646
Cook County (312) 744-1906
KATY KRYSTYNIAK
Counselor
5801 N PULASKI RD
CHICAGO, IL 60646
Cook County (312) 744-1906
CITY OF CHICAGO DEP. OF PUBLIC HEALTH
Community/Behavioral Health
5801 N PULASKI RD
CHICAGO, IL 60646
Cook County (312) 744-1906

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Conn's NPI number?

The NPI number for Derek Conn is 1578826632. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Where is Derek Conn located?

Derek Conn practices at 5801 N Pulaski Rd, Chicago, IL 60646. The listed phone number is (312) 744-1906.

What is Derek Conn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Derek Conn enrolled in Medicare?

Yes. Derek Conn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Derek Conn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Conn reassigns Medicare benefits to Progressive Psychological Healthcare, S.C. (Buffalo Grove, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Derek Conn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derek Conn accept?

Health plans from UnitedHealthcare list Derek Conn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Derek Conn was last updated on September 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.