JOANNA MARIE DY DE LEON MS, LCPC
NPI 1194362947
Counselor - Professional in Rockford, IL

Active since November 27, 2019PECOS EnrolledAccepts Medicare Assignment
4615 E STATE ST STE 204, ROCKFORD, IL 61108(815) 708-9068(779) 970-5908 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 30, 2024, Jan 30, 2023, Jul 13, 2022 and 1 more (4 updates tracked since 2019).

About Joanna Marie Dy De Leon Ms, Lcpc NPPES

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

JOANNA MARIE DY DE LEON MS, LCPC (NPI 1194362947) is an individual professional provider in Rockford, Illinois, licensed in Illinois (180014142) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rockford, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1194362947
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJOANNA MARIE DY DE LEONCredential: MS, LCPC
Location Address4615 E STATE ST STE 204Rockford, IL 61108-2158
Mailing Address4615 E State St Ste 204Rockford, IL 61108-2158 · (815) 708-9068
Fax(779) 970-5908
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 27, 2019
Last NPPES UpdateApril 30, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2023
NPI 1194362947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in IL · 180014142 Licensed in IL · 178014740
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
4615 E STATE ST STE 204, Rockford, IL 61108

Secondary Practice Location 1

Location 1129 S Phelps Avenue, Building 10, Suite 1006Rockford, IL 61108-2456 · Phone (815) 246-2880

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Joanna Marie Dy De Leon Ms, Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688013659
PECOS Enrollment IDI20240424000134
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.

Other Providers at the Same Location NPPES 2

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

Counselor (Mental Health)
4615 E STATE ST STE 204
ROCKFORD, IL 61108
Counselor (Professional)
4615 E STATE ST STE 204
ROCKFORD, IL 61108

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 Joanna Marie De Leon's NPI number?

The NPI number for Joanna Marie De Leon is 1194362947. It was assigned to this individual provider in the NPPES registry on November 27, 2019.

Where is Joanna Marie De Leon located?

Joanna Marie De Leon practices at 4615 E State St Ste 204, Rockford, IL 61108. The listed phone number is (815) 708-9068.

What is Joanna Marie De Leon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Joanna Marie De Leon enrolled in Medicare?

Yes. Joanna Marie De Leon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Joanna Marie De Leon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Providence Health Plan and Quartz list Joanna Marie De Leon 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 Joanna Marie De Leon was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.