IndividualActive
Jody Ideran
NPI 1174619043 · Mental Health Counselor · Bloomington, IL
Jody Ideran is a Mental Health Counselor provider in Bloomington, IL (NPI 1174619043).
Provider details
- NPI number
- 1174619043
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% 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
108 W Market St
Bloomington, IL 61701-3918
Phone: (309) 827-5351
Fax: (309) 829-6808
Street-level locationGet directions
Mailing address
11 Palm Ct
Bloomington, IL 61701-7849
Registry dates
- Enumerated
- 2006-10-05
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jody Ideran's NPI number?
- Jody Ideran's National Provider Identifier (NPI) is 1174619043, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jody Ideran's specialty?
- Jody Ideran is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Jody Ideran located?
- Jody Ideran's practice location on file with NPPES is 108 W Market St, Bloomington, IL 61701-3918.
- What is Jody Ideran's phone number?
- The practice phone number listed in the NPPES registry for Jody Ideran is (309) 827-5351.
- Is Jody Ideran's NPI active?
- Yes — Jody Ideran's NPI (1174619043) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.