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JASON DEFORD LCPC
NPI 1083169965
Counselor - Mental Health in Peoria, IL

Active since August 19, 2016
3020 W WILLOW KNOLLS DR, PEORIA, IL 61614(309) 681-5652 Get Directions Write a Review

NPPES record last updated: August 19, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jason Deford Lcpc NPPES

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

JASON DEFORD LCPC (NPI 1083169965) is an individual mental health provider in Peoria, Illinois, licensed in Illinois (180010119) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1083169965
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJASON DEFORDCredential: LCPC
Location Address3020 W WILLOW KNOLLS DRPeoria, IL 61614-8127
Mailing Address3020 W Willow Knolls DrPeoria, IL 61614-8127 · (309) 681-5652
Phone(309) 681-5652
Sole ProprietorNo
Enumeration DateAugust 19, 2016
✔ NPI 1083169965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 180010119
3020 W WILLOW KNOLLS DR, Peoria, IL 61614
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Other Providers at the Same Location NPPES 13

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

CAITLIN ROSE REEVES LCPC
Counselor (Professional)
3020 W WILLOW KNOLLS DR
PEORIA, IL 61614
Peoria County (309) 681-5850
SHANE G. YOUNG MA, NCC, LPC
Counselor (Professional)
3020 W WILLOW KNOLLS DR
PEORIA, IL 61614
Peoria County (309) 681-5850
D'ARCY MARIE CONLEY LCPC
Counselor (Mental Health)
3020 W WILLOW KNOLLS DR
PEORIA, IL 61614
Peoria County (309) 681-5652
DEBORAH L SIIRA LCPC
Counselor (Professional)
3020 W WILLOW KNOLLS DR
PEORIA, IL 61614
Peoria County (309) 681-5652
MS. LESTARI WISNU MEIER MA NCC LPC
Counselor (Professional)
3020 W WILLOW KNOLLS DR
PEORIA, IL 61614
Peoria County (309) 681-5850
YVONNE HOWARD M.A., LPC
Counselor (Mental Health)
3020 W WILLOW KNOLLS DR
PEORIA, IL 61614
Peoria County (309) 681-5652
RESOURCE MANAGEMENT SERVICES, INC.
Marriage & Family Therapist
3020 W WILLOW KNOLLS DR
PEORIA, IL 61614
Peoria County (309) 681-5652
MR. JAMES R HAIG LCSW
Social Worker
3020 W WILLOW KNOLLS DR
PEORIA, IL 61614
Peoria County (309) 681-5652

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 Jason Deford's NPI number?

The NPI number for Jason Deford is 1083169965. It was assigned to this individual provider in the NPPES registry on August 19, 2016.

Where is Jason Deford located?

Jason Deford practices at 3020 W Willow Knolls Dr, Peoria, IL 61614. The listed phone number is (309) 681-5652.

What is Jason Deford's specialty?

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

When was this NPI record last updated?

The NPPES record for Jason Deford was last updated on August 19, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.