IndividualActive
Jason Deford, LCPC
NPI 1083169965 · Mental Health Counselor · Peoria, IL
Jason Deford, LCPC is a Mental Health Counselor provider in Peoria, IL (NPI 1083169965).
Provider details
- NPI number
- 1083169965
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LCPC
- Sex
- Male
- Sole proprietor
- No
- License
- 180010119 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3020 W Willow Knolls Dr
Peoria, IL 61614-8127
Phone: (309) 681-5652
Street-level locationGet directions
Mailing address
3020 W Willow Knolls Dr
Peoria, IL 61614-8127
Registry dates
- Enumerated
- 2016-08-19
- Last updated
- 2016-08-19
Frequently asked questions
- What is Jason Deford's NPI number?
- Jason Deford's National Provider Identifier (NPI) is 1083169965, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jason Deford's specialty?
- Jason Deford is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Jason Deford located?
- Jason Deford's practice location on file with NPPES is 3020 W Willow Knolls Dr, Peoria, IL 61614-8127.
- What is Jason Deford's phone number?
- The practice phone number listed in the NPPES registry for Jason Deford is (309) 681-5652.
- Is Jason Deford's NPI active?
- Yes — Jason Deford's NPI (1083169965) is active in the NPPES registry as of the last update on 2016-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.